Avalon, Celeste Joy

Avalon, Celeste Joy is an sole proprietor health care provider with primary practice located at 3393 Iris Ave Suite #208, Boulder CO 80301-5205. 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. Avalon, Celeste Joy can be contacted via phone (303) 851-1205.

Contact Information

Primary practice address
3393 Iris Ave Suite #208 Boulder CO 80301-5205
Phone: (303) 851-1205
Fax: (303) 664-0785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT #405 Colorado

Profile Details

NPI number 1609957109
LBN Legal business name Avalon, Celeste Joy
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609957109 NPPES
Other 7136110 AETNA
Other 336854 AETNA

Popular Providers