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Mira Cantrick
Professional Counselor in Boulder, Colorado
NPI 1346880556

Mira Cantrick is a Professional Counselor based in Broomfield, CO and is specialized in Professional. Mira Cantrick practices in Boulder, CO. The NPI Number for Mira Cantrick is 1346880556 and holds a License No. 0015460 (Colorado).

The current practice location address for Mira Cantrick is 3005 47Th St Ste F1, Boulder, CO and can be reached out via phone at 303-819-0185.

Location: 3005 47Th St Ste F1, Boulder, CO, 80021-4182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346880556
Provider Name
Mira Cantrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
3005 47Th St Ste F1, Boulder, CO, 80021-4182
Phone Number
303-819-0185
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3005 47Th St Ste F1
City
Boulder
State
Colorado
Zip
80301-5550
Phone Number
303-819-0185
Fax Number
person
Provider Business Mailing Address Details
Address
3005 47Th St Ste F1
City
Boulder
State
Colorado
Zip
80301-5550
Phone Number
303-819-0185
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0015460 (Colorado)
Definition
Definition to come...
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