Individual
JACOB HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3842
(970) 260-0868
Mailing address
811 GRAND AVE, SILT, CO 81652-9316
(970) 260-0868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0015217
CO
103T00000X
Psychologist
Primary
PSY.0006904
CO
Other
Enumeration date
04/15/2019
Last updated
10/01/2025
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