Provider Demographics
NPI:1932263670
Name:BOE, MARILEE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:MARILEE
Middle Name:
Last Name:BOE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 S LOCUST ST
Mailing Address - Street 2:# 219
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7126
Mailing Address - Country:US
Mailing Address - Phone:303-758-2659
Mailing Address - Fax:303-753-4650
Practice Address - Street 1:2755 S LOCUST ST
Practice Address - Street 2:# 219
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7126
Practice Address - Country:US
Practice Address - Phone:303-758-2659
Practice Address - Fax:303-753-4650
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health