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NPI Profile for KELLIE BOULDIN in CHEYENNE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X |
| NPI # | 1124482328 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 04/13/2016 | |
| Last updated | 10/09/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLIE BOULDIN
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| SUE BLAYRE WHITE, MS, LAT, NCACII, DOT 1623 CENTRAL AVE CHEYENNE, WY |
| ANDREW BZDOK, LPC, CAS, MA 242 CONIFER ST FORT COLLINS, CO |
| GROUNDED LIGHT LLC 421 SOUTH HOWES STREET FORT COLLINS, CO |
| JESSIE CHARBONNEAU 123 AYLESWORTH HALL FORT COLLINS, CO |
| ARK REGIONAL SERVICES, INC. 1150 N 3RD ST LARAMIE, WY |
| SUSAN K AUGUSTINE, PhD 1277 N 15TH ST LARAMIE, WY |
| PAMELA J SPENCER, NCC, LPC 125 CRESTRIDGE ST FORT COLLINS, CO |
| RACHEL C LUCAS, LPC, CAS 300 E. HORSETOOTH RD. FORT COLLINS, CO |
| TYLER G WOODY, LICENSED PROFESSIONA 2627 REDWING RD FORT COLLINS, CO |
| JESSICA LOVEALL, LPCC 2629 REDWING RD FORT COLLINS, CO |
KELLIE BOULDIN, LPC