Organization
AUTHENTIC ASCENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE JOHNSTON PHD (LICENSED PSYCHOLOGIST)
(518) 307-5743
Entity
Organization
Contact information
Practice address
1500 N GRANT ST STE R, DENVER, CO 80203-1859
(970) 408-0973
Mailing address
2319 ROCKY MOUNTAIN AVE UNIT 201, LOVELAND, CO 80538-8860
(518) 307-5743
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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