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Individual

MS. JESSICA SUZANNE KUCHINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, ATR

Contact information

Practice address
2247 FEDERAL BLVD, DENVER, CO 80211-4641
(303) 917-2600
Mailing address
722 JULIAN CIR, LAFAYETTE, CO 80026-1164
(303) 917-2600

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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