Individual
JAMIE L STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
11236 HILLCREST DR STE 114, GREELEY, CO 80631-9392
(970) 460-4149
Mailing address
11236 HILLCREST DR, GREELEY, CO 80631-9392
(970) 460-4149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601202662
—
CO
05
—
9000202590
—
CO
Enumeration date
11/10/2014
Last updated
11/15/2022
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