Individual
JONATHAN MUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6255 NORTH QUEBEC PKWY, COMMERCE CITY, CO 80022-1471
(303) 286-8900
(303) 286-4970
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0003806
CO
Other
Enumeration date
08/18/2010
Last updated
01/06/2017
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