Individual
JENNIE SPENCER WEATHERLEY
Active
Individual
JENNIE SPENCER WEATHERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5346
CO
101YP2500X
Professional Counselor
Primary
5346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018047
KAISER COMMERCIAL NUMBER
CO
05
—
64480232
—
CO
Enumeration date
09/22/2009
Last updated
04/26/2021
Update your record
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