Individual
MR. JACOB RUSSELL CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., NCC, LPCC
Contact information
Practice address
1180 S HOLLY ST, DENVER, CO 80246-3233
(479) 387-0110
Mailing address
1180 S HOLLY ST, DENVER, CO 80246-3233
(479) 387-0110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0014244
CO
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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