Individual
JILL WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
38493 WCR 51, EATON, CO 80615-9513
(970) 454-5423
Mailing address
38493 WCR 51, EATON, CO 80615-9513
(970) 454-5423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012758
CO
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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