Individual
JENNI MCDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
600 S AIRPORT RD, LONGMONT, CO 80503-6424
(303) 579-8642
Mailing address
933 SANDSTONE DR, LYONS, CO 80540-8833
(303) 579-8642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/07/2020
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