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Johanna B Grube
Professional Counselor in Boulder, Colorado
NPI 1790276624

Johanna B Grube is a Professional Counselor based in Westminster, CO and is specialized in Professional. Johanna B Grube practices in Boulder, CO. The NPI Number for Johanna B Grube is 1790276624 and holds a License No. (Colorado).

The current practice location address for Johanna B Grube is 1333 Iris Ave, Boulder, CO and can be reached out via phone at 303-443-8500.

Location: 1333 Iris Ave, Boulder, CO, 80031-4379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790276624
Provider Name
Johanna B Grube
Credential
Provider Entity Type
Individual
Gender
Female
Address
1333 Iris Ave, Boulder, CO, 80031-4379
Phone Number
303-443-8500
Fax Number
Provider Enumeration Date
05/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1333 Iris Ave
City
Boulder
State
Colorado
Zip
80304-2226
Phone Number
303-443-8500
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Iris Ave
City
Boulder
State
Colorado
Zip
80304-2226
Phone Number
303-443-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0018953 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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