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Individual

JENNIE ALBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 FLORIDA RD UNIT 14, DURANGO, CO 81301-4775
(970) 903-8146
Mailing address
414 HILLCREST DR, DURANGO, CO 81301-6522
(970) 903-8146

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0013402
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC.0013402
GENERAL
CO
Enumeration date
10/26/2020
Last updated
10/26/2020
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