Individual
MS. JENNIFER LYNN DIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5370 MANHATTAN CIR, SUITE 203, BOULDER, CO 80303-4250
(303) 931-4284
Mailing address
260 E CORNWALL CT, LAFAYETTE, CO 80026-1160
(303) 931-4284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5867
CO
Other
Enumeration date
03/10/2010
Last updated
10/19/2010
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