Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 LEFTHAND DR, LONGMONT, CO 80501-6745
(303) 775-9486
Mailing address
1532 LEFTHAND DR, LONGMONT, CO 80501-6745
(303) 775-9486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
07/28/2025
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