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Ms. Alberta Gaea Logan
Professional Counselor in Boulder, Colorado
NPI 1366907719

Alberta Gaea Logan is a Professional Counselor based in Boulder, CO and is specialized in Professional. Alberta Gaea Logan practices in Boulder, CO. The NPI Number for Alberta Gaea Logan is 1366907719 and holds a License No. 0013418 (Colorado).

The current practice location address for Alberta Gaea Logan is 1244 Pine St, Boulder, CO and can be reached out via phone at 512-694-1393.

Location: 1244 Pine St, Boulder, CO, 80301-3932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366907719
Provider Name
Alberta Gaea Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1244 Pine St, Boulder, CO, 80301-3932
Phone Number
512-694-1393
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0013418 01 CO LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
1244 Pine St
City
Boulder
State
Colorado
Zip
80302-4809
Phone Number
512-694-1393
Fax Number
person
Provider Business Mailing Address Details
Address
1244 Pine St
City
Boulder
State
Colorado
Zip
80302-4809
Phone Number
512-694-1393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0013418 (Colorado)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0013418 (Colorado)
Definition
Definition to come...
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