Individual
JACQUELINE ATHENE LOUNSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFTC, R-DMT
Contact information
Practice address
111 REMINGTON DR, FORT COLLINS, CO 80525-1444
(970) 666-0565
Mailing address
112 RUTGERS AVE APT 205, FORT COLLINS, CO 80525-1444
(781) 266-8512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CO
Other
Enumeration date
05/20/2022
Last updated
07/23/2024
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