Individual
JENI AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.C
Contact information
Practice address
3120 PEARL PKWY, 211, BOULDER, CO 80301-2479
(805) 679-1921
Mailing address
PO BOX 683, BOULDER, CO 80306-0683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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