Collery, Leah

Collery, Leah is an individual health care provider with primary practice located at 1333 Iris Ave , Boulder CO 80304-2226. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Collery, Leah can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1333 Iris Ave Boulder CO 80304-2226
Phone: (303) 443-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1558803767
LBN Legal business name Collery, Leah
Credentials BACP, ACC, CLC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2016
Last updated Nov 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558803767 NPPES
Colorado MEDICAID O937982

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