Individual
JESSICA LYNN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9475 BRIAR VILLAGE PT STE 215, COLORADO SPRINGS, CO 80920-7908
(773) 405-5256
Mailing address
9475 BRIAR VILLAGE PT STE 215, COLORADO SPRINGS, CO 80920-7908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0018535
CO
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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