Individual
JENNIFER ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LAC
Contact information
Practice address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 463-5506
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000403
CO
101YP2500X
Professional Counselor
Primary
LPC.0011605
CO
Other
Enumeration date
02/28/2022
Last updated
05/26/2022
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