Individual
JESSICA BYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3560 E 107TH AVE, THORNTON, CO 80233-4440
(631) 992-0097
Mailing address
3560 E 107TH AVE, THORNTON, CO 80233-4440
(631) 992-0097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0019492
CO
Other
Enumeration date
07/28/2022
Last updated
06/17/2023
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