Autumn Tree Therapy

NPI #1750812889 in Boulder, Colorado

Provider Information

NPI Number: 1750812889
Entity Type: Organization
Organization Name: Autumn Tree Therapy
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 21, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 2935 BASELINE RD
Address 2: STE. 302
City: Boulder
State: Colorado
ZIP Code: 80303-2366
Phone: (303) 875-2364

Authorized Official

Name: MS. CARLEY COHEN-FOX, MSW LCSW CMC
Title: CLINICIAN/OWNER
Phone: (303) 875-2364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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