Individual
JESSICA V BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MANHATTAN DR, BOULDER, CO 80303-4254
(541) 324-6241
Mailing address
PO BOX 21611, BOULDER, CO 80308-4611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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