Individual
MR. JOHN HAROLD JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
313 N TEJON ST, COLORADO SPRINGS, CO 80903-1243
(719) 629-6406
Mailing address
15894 KANSAS PACIFIC COURT, MONUMENT, CO 80132-2502
(719) 629-6406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991975
CO
Other
Enumeration date
09/19/2005
Last updated
02/14/2017
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