Individual
MR. ADAM JEFFRYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
19 E ABARR DR, PUEBLO, CO 81007-5436
(719) 688-8984
Mailing address
19 E ABARR DR, PUEBLO, CO 81007-5436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0015704
CO
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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