Individual
MRS. JACQUE ANN RISTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1200 W ASH ST, STE D, WINDSOR, CO 80550-4652
(970) 222-7249
(970) 267-0830
Mailing address
1200 W ASH ST, STE D, WINDSOR, CO 80550-4652
(970) 222-7249
(970) 267-0830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3173
CO
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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