person
Alexis Mitsuko Kamakanoe Ornellas, LPC,LAC
Mental Health Counselor in Boulder, Colorado
NPI 1316352958

Alexis Mitsuko Kamakanoe Ornellas is a Mental Health Counselor based in Boulder, CO and is specialized in Mental Health. Alexis Mitsuko Kamakanoe Ornellas practices in Boulder, CO and has the professional credentials of LPC,LAC. The NPI Number for Alexis Mitsuko Kamakanoe Ornellas is 1316352958 and holds a License No. ACD.0000422 (Colorado).

The current practice location address for Alexis Mitsuko Kamakanoe Ornellas is 2635 Mapleton Ave Lot 24, Boulder, CO and can be reached out via phone at 720-408-5393.

Location: 2635 Mapleton Ave Lot 24, Boulder, CO, 80304-3828
person
Provider Profile Details
NPI Number
1316352958
Provider Name
Alexis Mitsuko Kamakanoe Ornellas
Credential
LPC,LAC
Provider Entity Type
Individual
Gender
Female
Address
2635 Mapleton Ave Lot 24, Boulder, CO, 80304-3828
Phone Number
720-408-5393
Fax Number
Provider Enumeration Date
06/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2635 Mapleton Ave Lot 24
City
State
Zip
80304-3828
Phone Number
720-408-5393
Fax Number
person
Provider Business Mailing Address Details
Address
2635 Mapleton Ave Lot 24
City
State
Zip
80304-3828
Phone Number
720-408-5393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC.0012209 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ACD.0000422 (Colorado)
Definition
Definition to come...
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