Individual
JESSICA F GENNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
214 6TH STREET, CRESTED BUTTE, CO 81224
(575) 776-7347
Mailing address
412 HORSEHOE DRIVE, CRESTED BUTTE, CO 81224
(575) 776-7347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0014472
CO
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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