Individual
MS. JACQUELYN PATRICIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
PO BOX 616, FREDERICK, CO 80530-0616
(720) 314-8444
Mailing address
PO BOX 616, FREDERICK, CO 80530-0616
(720) 314-8444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0021094
CO
Other
Enumeration date
10/12/2023
Last updated
09/23/2024
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