Individual
JESSICA NGUYEN-WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
10699 MELODY DR STE 2, NORTHGLENN, CO 80234-4131
(720) 580-3616
Mailing address
1726 VIRGINIA DR, FORT LUPTON, CO 80621-7618
(720) 988-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001392
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926498
CO
Other
Enumeration date
09/01/2015
Last updated
12/08/2022
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