Organization
AUTHENTIC JOURNEYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NAKATA (OWNER/THERAPIST)
(303) 882-4679
Entity
Organization
Contact information
Practice address
9351 GRANT ST, SUITE 480, THORNTON, CO 80229-4358
(303) 882-4679
(303) 479-8025
Mailing address
PO BOX 29737, THORNTON, CO 80229-0737
(303) 882-4679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4089
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285031070
NPI INDIVIDUAL
—
Enumeration date
09/20/2016
Last updated
09/20/2016
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