Individual
JESSECA MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC, RPT
Contact information
Practice address
6069 PROSPECT RD, LONGMONT, CO 80503-9047
(719) 459-4338
Mailing address
5760 TWILIGHT AVE, FIRESTONE, CO 80504-6480
(719) 459-4338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0014798
CO
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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