Individual
JENNIFER CHADWICK-CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5126 CINQUEFOIL LN, FORT COLLINS, CO 80528-4425
(970) 420-6270
Mailing address
5126 CINQUEFOIL LN, FORT COLLINS, CO 80528-4425
(970) 420-6270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW.09929400
CO
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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