Individual provider · Type 1 NPI
Jayson Gaddis, MA, LPC
Professional Counselor · Boulder, CO
NPI number
1962643759
Active
Practice location
2825 Marine St, Suite 201
Boulder, CO 80303-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4716 (CO) |
Professional Counselor: Definition to come...
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About NPI 1962643759
Jayson Gaddis, MA, LPC's National Provider Identifier is 1962643759, issued on Mar 9, 2009. 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, 2009.