Individual
JESSE LYNNE YEDINAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 BROADWAY ST, BOULDER, CO 80302-6214
(303) 440-4842
(303) 415-0413
Mailing address
1927 GOSS ST, BOULDER, CO 80302-6526
(303) 746-4275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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