Individual
JILLIAN GLEASON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MERIDIAN DR, 123 AYLESWORTH HALL NW, FORT COLLINS, CO 80523-0001
(970) 491-6053
Mailing address
800 MERIDIAN DR, 123 AYLESWORTH HALL NW, FORT COLLINS, CO 80523-0001
(970) 491-6053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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