Individual
JONATHAN HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 S TELLER ST, LAKEWOOD, CO 80232-5405
(303) 425-0300
Mailing address
1275 S TELLER ST, LAKEWOOD, CO 80232-5405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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