Individual
JAEL ESQUIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
710 11TH AVE STE 108, GREELEY, CO 80631-3200
(970) 616-4425
Mailing address
710 11TH AVE STE 108, GREELEY, CO 80631-3200
(970) 616-4425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0012230
CO
101YP2500X
Professional Counselor
LPC.0012230
CO
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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