Individual
VALERIE D JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MIND RENEWAL BEHAVIORAL HEALTH SERVICES, COLORADO SPRINGS, CO 80906
(719) 465-2582
Mailing address
4274 GUNBARREL DR, COLORADO SPRINGS, CO 80925-1005
(614) 648-1689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000001750
CO
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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