Individual
JESSICA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
3497 IRIS CT, BOULDER, CO 80304-1827
(720) 552-1461
Mailing address
1621 24TH AVE, LONGMONT, CO 80501-1044
(407) 921-9984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0021867
CO
2355S0801X
Speech-Language Assistant
11443
AZ
Other
Enumeration date
10/26/2018
Last updated
09/12/2024
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