Individual
JESSICA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2529 CAMELOT CT, COLORADO SPRINGS, CO 80904-1767
(720) 935-4830
Mailing address
2529 CAMELOT CT, COLORADO SPRINGS, CO 80904-1767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0018895
CO
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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