Individual provider · Type 1 NPI

Gwendaline Danielle Thoreaux, M.A., L.P.C., C.A.C.

Professional Counselor · Boulder, CO

NPI number 1912279233 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X5880 (CO)
Professional Counselor Primary 101YP2500X3210 (CO)

Professional Counselor: Definition to come...

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About NPI 1912279233

Gwendaline Danielle Thoreaux, M.A., L.P.C., C.A.C.'s National Provider Identifier is 1912279233, issued on Feb 1, 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 9, 2015.