Individual
JESSE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2919 ALAMO AVE, FORT COLLINS, CO 80525-2503
(970) 658-0024
Mailing address
PO BOX 270326, FORT COLLINS, CO 80527-0326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
.09929578
CO
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
02/24/2025
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