Individual
JENNIE LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 BUCKBOARD DR # 1231, NORWOOD, CO 81423-5006
(970) 708-9358
Mailing address
PO BOX 2285, TELLURIDE, CO 81435-2285
(970) 708-9358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001250
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923969
CO
Other
Enumeration date
12/28/2020
Last updated
09/15/2021
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