Individual
JESSICA LAUREN WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
225 E CHEYENNE MOUNTAIN BLVD STE 220, COLORADO SPRINGS, CO 80906-3700
(719) 694-9739
Mailing address
5035 LANGDALE WAY, COLORADO SPRINGS, CO 80906-7673
(912) 610-2107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LCM678
MD
106H00000X
Marriage & Family Therapist
Primary
MSMFT.0000005
CO
Other
Enumeration date
07/10/2018
Last updated
08/01/2022
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