Individual
MS. JANINE MARIE MODERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
888 13TH STREET, AIM HOUSE, BOULDER, CO 80302-7504
(303) 847-4182
Mailing address
888 13TH STREET, AIM HOUSE, BOULDER, CO 80302-7504
(303) 847-4182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC # 4936
CO
Other
Enumeration date
07/11/2006
Last updated
11/14/2012
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