Provider Demographics
NPI:1881468262
Name:LAW, JAMIE (LPCC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3682 FOURMILE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-9731
Mailing Address - Country:US
Mailing Address - Phone:516-302-5768
Mailing Address - Fax:
Practice Address - Street 1:3682 FOURMILE CANYON DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-9731
Practice Address - Country:US
Practice Address - Phone:516-302-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health