Individual
JACQUELYN PALMER MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
2718 HARTSEL CT, LOVELAND, CO 80538-2932
(970) 669-2430
(970) 667-8625
Mailing address
2718 HARTSEL CT, LOVELAND, CO 80538-2932
(970) 669-2430
(970) 667-8625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
634
CO
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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