Individual
JASMINE HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4581 INDEPENDENCE ST, 1ST FLOOR, WHEAT RIDGE, CO 80033
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47337940
—
WA
Enumeration date
01/11/2021
Last updated
10/19/2024
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