Individual
JENNIFER LAXAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
123 AYLESWORTH HALL NW, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80521
(970) 491-3901
Mailing address
123 AYLESWORTH HALL NW, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80521
(970) 889-8181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/05/2013
Last updated
10/21/2016
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