person
Dr. Richard Shane, PHD
Mental Health Counselor in Boulder, Colorado
NPI 1386712354

Richard Shane is a Mental Health Counselor based in Boulder, CO and is specialized in Mental Health. Richard Shane practices in Boulder, CO and has the professional credentials of PHD. The NPI Number for Richard Shane is 1386712354 and holds a License No. 50 (Colorado).

The current practice location address for Richard Shane is 3980 Broadway St, Boulder, CO and can be reached out via phone at 303-304-9933 and via fax at 720-294-8350.

Location: 3980 Broadway St, Boulder, CO, 80304-1133
person
Provider Profile Details
NPI Number
1386712354
Provider Name
Richard Shane
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3980 Broadway St, Boulder, CO, 80304-1133
Phone Number
303-304-9933
Fax Number
720-294-8350
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3980 Broadway St
City
State
Zip
80304-1133
Phone Number
303-304-9933
Fax Number
720-294-8350
person
Provider Business Mailing Address Details
Address
3980 Broadway St
City
State
Zip
80304-1133
Phone Number
303-304-9933
Fax Number
720-294-8350
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
50 (Colorado)
Definition
Definition to come...
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