Individual
JESSICA IVY WASIELESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
229 TERRY ST, LONGMONT, CO 80501-5930
(720) 580-2283
Mailing address
229 TERRY ST, LONGMONT, CO 80501-5930
(720) 580-2283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0023131
CO
Other
Enumeration date
01/02/2026
Last updated
01/05/2026
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