Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | NLC-7607 | CO |
NPI | 1003091224 |
---|---|
Provider Name | Veronique P Mead |
First Address | Boulder, CO 80301-3170 |
Second Address | Boulder, CO 80301-3170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |