Individual
JENNIFER MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
422 21ST ST, DENVER, CO 80205-3110
(720) 319-7893
Mailing address
422 21ST ST, DENVER, CO 80205-3110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0001414
CO
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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