Individual
MS. JENNIFER JEAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LSW.0009924588
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2020
Last updated
07/18/2025
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