Individual
CASSIDY SHANAE JIMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W 2ND ST STE A, SALIDA, CO 81201-2046
(719) 626-1289
Mailing address
630 W 14TH ST, SALIDA, CO 81201-1808
(970) 580-1618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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