Individual
JESSICA NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 N ACADEMY BLVD STE 100, COLORADO SPRINGS, CO 80909-2733
(719) 941-5066
Mailing address
1125 KELLY JOHNSON BLVD STE 105, COLORADO SPRINGS, CO 80920-3930
(720) 326-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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