Individual provider · Type 1 NPI

Lisa Emblen Moffitt

Mental Health Counselor · Boulder, CO

NPI number 1699072181 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2339 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1699072181

Lisa Emblen Moffitt's National Provider Identifier is 1699072181, issued on Feb 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Feb 17, 2011.