Provider Demographics
NPI:1801144159
Name:CRONIN, CLAIRE O (MA,LPC,NCC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:O
Last Name:CRONIN
Suffix:
Gender:F
Credentials:MA,LPC,NCC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:O
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3890 ELMHURST PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5504
Mailing Address - Country:US
Mailing Address - Phone:303-910-9401
Mailing Address - Fax:
Practice Address - Street 1:3682 CHASE CT
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5531
Practice Address - Country:US
Practice Address - Phone:303-447-1206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012714101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health