Individual
MS. JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LAC
Contact information
Practice address
950 N LOGAN ST STE 202, DENVER, CO 80203-3662
(720) 432-5223
Mailing address
950 N LOGAN ST STE 202, DENVER, CO 80203-3662
(720) 432-5223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC.0012439
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000652
CO
101YP2500X
Professional Counselor
Primary
LPC.0012439
CO
Other
Enumeration date
01/03/2014
Last updated
09/20/2021
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