Individual
JENELLE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
401 ALPINE AVE, BOULDER, CO 80304-3208
(815) 814-2309
Mailing address
401 ALPINE AVE, BOULDER, CO 80304-3208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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