Individual
JESSICA LYNN CAVINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 E MONUMENT ST, COLORADO SPRINGS, CO 80903-1004
(719) 447-0370
Mailing address
8203 MAHOGANY WOOD CT, COLORADO SPRINGS, CO 80927-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14101
CO
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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