BOULDER ALCOHOL EDUCATION CENTER INC NPI 1992345458

NPI Information

BOULDER ALCOHOL EDUCATION CENTER INC is an addiction (substance use disorder) psychologist in Boulder, CO. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. BOULDER ALCOHOL EDUCATION CENTER INC NPI is 1992345458. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1525 SPRUCE ST STE 100
BOULDER, CO
ZIP 80302-256
Phone: (303) 444-6142
Fax: (303) 444-6177

The provider's authorized official is John O Gilburt .
The authorized official title is Owner/director and has the following contact phone number (720) 235-7000.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 1/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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