Organization
INTUITIVE ART PLAY TRAUMA THERAPY COLORADO, LLC
Active
Other names
Jessica Kuchinski, LPC, ATR
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KUCHINSKI MA, LPC (OWNER)
(303) 917-2600
Entity
Organization
Contact information
Practice address
80 GARDEN CTR STE 120, BROOMFIELD, CO 80020-1735
(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
Primary
—
—
103T00000X
Psychologist
0006211
CO
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30635047
—
CO
Enumeration date
04/10/2018
Last updated
01/30/2019
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