Individual
MRS. JESSICA C KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7125 CHERRY CREEK NORTH DR, DENVER, CO 80224-2044
(308) 380-1756
Mailing address
2608 OLD FAIR RD, GRAND ISLAND, NE 68803-5271
(308) 382-5297
(308) 382-5315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
09924268
CO
101YM0800X
Mental Health Counselor
1966
NE
1041C0700X
Clinical Social Worker
Primary
CSW.09924268
CO
1041S0200X
School Social Worker
CSW.09924268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099629
MEDICARE
NE
05
—
10025173100
—
NE
05
—
34030255
—
CO
Enumeration date
08/05/2010
Last updated
05/28/2024
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