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Amber Ivanova, LCSW, LAC

NPI 1063917862 · on the registry since 2018

Practice

Address
2525 13th St Ste 200
Boulder, CO 80304
Phone
(303) 449-6050
Fax
(720) 565-4132
Organisation at this address
Kaiser Permanente Colorado
Clinica Campesina Family Health Services
Clinica Campesina Family Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • 1355 S Colorado Blvd Ste C-100, Denver, CO

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado