Individual provider · Type 1 NPI
George Rankin Macilwinen, M.A., LPC, CAC I
Professional Counselor · Boulder, CO
NPI number
1770835910
Active
Practice location
2769 Iris Ave Ste 114
Boulder, CO 80304-4405
Mailing address
2769 Iris Ave. Ste 114
Boulder, CO 80304-0679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 13670 (CO) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6941 (CO) |
| Professional Counselor Primary | 101YP2500X | 12353 (CO) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1770835910
George Rankin Macilwinen, M.A., LPC, CAC I's National Provider Identifier is 1770835910, issued on Oct 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Mar 25, 2015.