Individual
DR. JENNIFER R ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1137 PEARL ST STE 203, BOULDER, CO 80302-5100
(303) 579-4618
Mailing address
1137 PEARL ST STE 203, BOULDER, CO 80302-5100
(303) 579-4618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6857
CO
103T00000X
Psychologist
Primary
PSY.0005017
CO
Other
Enumeration date
09/27/2009
Last updated
11/09/2020
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