Individual
JASON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
390 INTERLOCKEN CRES STE 350, BROOMFIELD, CO 80021-8051
(720) 435-6172
Mailing address
390 INTERLOCKEN CRES STE 350, BROOMFIELD, CO 80021-8051
(720) 435-6172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0020034
CO
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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