Individual
JEAN M CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2000 W 120TH AVE STE 5, WESTMINSTER, CO 80234-2495
(720) 722-4159
Mailing address
1070 IRIS ST, BROOMFIELD, CO 80020-1861
(720) 722-4159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0018935
CO
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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