Individual
JESSI K WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS LPC
Contact information
Practice address
609 W LITTLETON BLVD STE 201, LITTLETON, CO 80120-2352
(720) 236-2070
Mailing address
8316 S REED ST, LITTLETON, CO 80128-6358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
479490522
CO
103TS0200X
School Psychologist
7992
CO
Other
Enumeration date
01/29/2018
Last updated
12/22/2020
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