Individual
JENNIFER L WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC II
Contact information
Practice address
1412 OTTAWA CT, FORT COLLINS, CO 80526-2598
(970) 231-6736
Mailing address
1412 OTTAWA CT, FORT COLLINS, CO 80526-2598
(970) 231-6736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0006956
CO
101YP2500X
Professional Counselor
Primary
LPC.0012237
CO
Other
Enumeration date
09/20/2013
Last updated
09/04/2015
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