Individual
DR. JENNIFER R JERGERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4857
(970) 207-4885
Mailing address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4857
(970) 207-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3843
CO
103T00000X
Psychologist
Primary
PSY.0003310
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015957
KAISER-COMMERCIAL NUMBER
—
05
—
97282774
—
CO
Enumeration date
03/22/2007
Last updated
09/17/2021
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