Individual
JERI INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COFFMAN ST STE 300, LONGMONT, CO 80501-5450
(303) 684-0555
Mailing address
3830 BROADWAY ST APT 31, BOULDER, CO 80304-1243
(925) 330-9608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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