Individual
MR. JASON PHILIP CAPTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003730
VA
101YP2500X
Professional Counselor
Primary
LPC.0011825
CO
Other
Enumeration date
03/21/2007
Last updated
08/28/2014
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