Individual
JONATHAN RUSSELL PETYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 FRONT ST STE 108, LOUISVILLE, CO 80027-1805
(720) 310-0530
Mailing address
700 FRONT ST STE 108, LOUISVILLE, CO 80027-1805
(720) 310-0530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09931787
CO
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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