Individual
JESSICA NICOLE PADULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4057
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
6801097749
MI
1041C0700X
Clinical Social Worker
Primary
CSW.09926029
CO
Other
Enumeration date
11/13/2018
Last updated
08/06/2021
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