Individual
DIANE JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(720) 891-2647
Mailing address
2112 23RD AVE, LONGMONT, CO 80501-7545
(303) 776-8308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
03/16/2016
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