Individual
JEROME MYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
7985 VANCE DR STE 105, ARVADA, CO 80003-2120
(720) 288-0033
Mailing address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 786-9314
(720) 554-8043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0013397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000177434
—
CO
Enumeration date
06/24/2015
Last updated
08/27/2023
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