Individual
JESSICA FERN COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2401 BROADWAY ST # 211, BOULDER, CO 80304-4108
(720) 771-6109
Mailing address
2401 BROADWAY ST # 211, BOULDER, CO 80304-4108
(720) 771-6109
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
NLC.0107681
CO
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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