Willow Tree Counseling Services LLC

NPI #1942808712 in Boulder, Colorado

Provider Information

NPI Number: 1942808712
Entity Type: Organization
Organization Name: Willow Tree Counseling Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WILLOW TREE COUNSELING SERVICES LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 613 WALNUT ST
City: Boulder
State: Colorado
ZIP Code: 80302-5031
Phone: (303) 995-8512

Authorized Official

Name: MS. BRIDGET M BLASIUS, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (303) 995-8512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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