Individual
JENIFER BREEZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
765 E COLLEGE DR APT 2, DURANGO, CO 81301-5556
(970) 422-3830
(970) 764-4049
Mailing address
354 EAGLE PASS, DURANGO, CO 81301-9410
(303) 579-4104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0017016
CO
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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