Individual
MS. JESSICA SUZANNE KUCHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0006211
CO
103T00000X
Psychologist
Primary
0006211
CO
103TC1900X
Counseling Psychologist
006211
CO
103TP2701X
Group Psychotherapy Psychologist
0006211
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30635047
—
CO
Enumeration date
10/31/2007
Last updated
01/30/2019
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