Individual
JADA HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E MONUMENT ST, COLORADO SPRINGS, CO 80903-1004
(303) 483-3930
Mailing address
212 E MONUMENT ST, COLORADO SPRINGS, CO 80903-1004
(303) 483-3930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0109918
CO
101YP2500X
Professional Counselor
Primary
LPC-0018310
CO
Other
Enumeration date
04/13/2020
Last updated
05/09/2024
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