Individual
MS. JANE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3945 PROMONTORY CT, BOULDER, CO 80304-1055
(303) 440-5945
Mailing address
3945 PROMONTORY CT, BOULDER, CO 80304-1055
(303) 440-5945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1247
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11707356
—
CO
Enumeration date
11/25/2008
Last updated
04/01/2019
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