Healthcare Provider Details

I. General information

NPI: 1275980328
Provider Name (Legal Business Name): URIC CAMERON GEER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2769 IRIS AVE STE 114
BOULDER CO
80304-4405
US

IV. Provider business mailing address

PO BOX 17042
BOULDER CO
80308-0042
US

V. Phone/Fax

Practice location:
  • Phone: 269-762-3207
  • Fax:
Mailing address:
  • Phone: 269-762-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0015749
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: