Individual
MS. JACLINE LEE HARRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907
(303) 202-7978
Mailing address
14658 BLUE WINGS WAY, COLORADO SPRINGS, CO 80921
(719) 260-8740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3771
CO
Other
Enumeration date
09/03/2017
Last updated
09/03/2017
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