Organization
JEN LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JENNIFER LEWIS LPC (MENTAL HEALTH THERAPIST)
(970) 388-4755
Entity
Organization
Contact information
Practice address
7499 COUNTY ROAD 126, CARR, CO 80612-9600
(970) 388-4755
Mailing address
7499 COUNTY ROAD 126, CARR, CO 80612-9600
(970) 388-4755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
12/04/2023
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