Individual
MR. JESSIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4386 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(720) 384-5523
(303) 688-8260
Mailing address
4386 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(720) 384-5523
(303) 688-8260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1274
KS
101YM0800X
Mental Health Counselor
Primary
992728
CO
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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