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Individual

JAN L WILKENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.C., N.C.C.

Contact information

Practice address
HEART MATTERS COUNSELING CENTER, 13550 NORTHGATE ESTATES DRIVE, #200, COLORADO SPRINGS, CO 80921
(719) 464-4771
Mailing address
4251 DATE ST, COLORADO SPRINGS, CO 80917-4907
(719) 464-4771

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0013848
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013848
LICENSED PROFESSIONAL COUNSELOR CANDIDATE
CO
Enumeration date
08/02/2016
Last updated
04/27/2020
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