Individual
JESSICA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304
(303) 443-8500
Mailing address
1333 IRIS, BOULDER, CO 80304
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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