Individual
JESSIE CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 AYLESWORTH HALL, CSUHN COUNSELING CENTER, FORT COLLINS, CO 80521
(970) 491-6053
Mailing address
4255 WESTSHORE WAY, D13, FORT COLLINS, CO 80525-3217
(970) 778-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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