NPI 1003202839

Regina Cannon, REGISTEREDPSYCHOTHE

Practitioner Mental Health Counselor Boulder, CO

Practice location

Address: 1333 Iris Ave, Boulder, CO 80304-2226
Phone: (303) 443-8500

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Colorado →

Registry record

NPI: 1003202839
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2015
Record last updated: 20 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.