Amber Ivanova, LCSW, LAC

NPI #1063917862 in Boulder, Colorado

Provider Information

NPI Number
1063917862
Entity Type
Individual
Name
Amber Ivanova, LCSW, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW, LAC
Enumeration Date
Mar 26, 2018
Last Updated
May 14, 2021

Practice Location

Address
2525 13TH ST STE 200
ZIP Code
80304-4104
Phone
(303) 449-6050

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical

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