Most Relevant Information
Provider Data
| NPI Number: | 1003355785 |
| Provider Name: | REBECCA JUAN MA, LPC, CHT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC.0014408 |
Most Important Dates
| Enumeration Date: | 02/15/2017 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
5600 ARAPAHOE AVE STE 206
BOULDER
CO
803031359
Practice Location Phone/Fax
| Phone: | 3038191817 |
| Fax: |
Provider Mailing Location
5600 ARAPAHOE AVE STE 206
BOULDER
CO
803031359
Provider Mailing Phone/Fax
| Phone: | 3038191817 |
| Fax: |