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Individual

MS. JODI LYN SUCKNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CAC III

Contact information

Practice address
2121 E 18TH AVE, DENVER, CO 80206-1127
(303) 355-1014
(303) 355-0899
Mailing address
2121 E 18TH AVE, DENVER, CO 80206-1127
(303) 355-1014
(303) 355-0899

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5238
CO
1041C0700X
Clinical Social Worker
1289
CO

Other

Enumeration date
02/16/2011
Last updated
02/16/2011
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