Individual
JASMINE VAGHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 S PARKER RD, 110, DENVER, CO 80231-2919
(303) 368-8702
Mailing address
1602 S PARKER RD, 110, DENVER, CO 80231-2919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1799-00
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
1799-01
CO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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