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Individual
SOPHIA JACOB ATWOOD
Active
Individual
SOPHIA JACOB ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0022311
CO
101YP2500X
Professional Counselor
Primary
LPC.0024219
CO
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
07/20/2026
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