Individual
JENNIE KOLOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7112 W JEFFERSON AVE STE 307, LAKEWOOD, CO 80235-2328
(254) 498-4017
Mailing address
65 S BRENTWOOD ST, LAKEWOOD, CO 80226-1355
(254) 498-4017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0018936
CO
101YM0800X
Mental Health Counselor
0018936
CO
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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