NPI 1164824207

Jennifer L. Bouldry, LCSW

Practitioner Clinical Social Worker Avon, CO

Practice location

Address: 50 Buck Creek Road Suite 200, Avon, CO 81620-4330
Phone: (970) 926-6340
Fax: (970) 926-6348
Mailing address: 50 Buck Creek Rd Suite 200, Avon, CO 81620

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 09926807 (CO)

Other Social Worker providers in Colorado →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence MC15031 (ME)

Registry record

NPI: 1164824207
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2014
Record last updated: 15 Jan 2021

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.