Individual provider · Type 1 NPI

Lucas Bryant Walljasper

Mental Health Counselor · Boulder, CO

NPI number 1891414835 Active

Practice location

3320 13th St
Boulder, CO 80304-2206

Call (414) 559-6930 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCC.0020596 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1891414835

Lucas Bryant Walljasper's National Provider Identifier is 1891414835, issued on Aug 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on May 23, 2023.