Individual
JENNESA YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
80 GARDEN CTR STE 166, BROOMFIELD, CO 80020-1790
(303) 877-3710
Mailing address
80 GARDEN CTR STE 166, BROOMFIELD, CO 80020-1790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0012578
CO
101YM0800X
Mental Health Counselor
LPP.0001311
CO
Other
Enumeration date
04/17/2014
Last updated
03/15/2023
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