Individual
JENNIFER LYNN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EMERY ST APT 104, LONGMONT, CO 80501-1565
(720) 220-5727
Mailing address
400 EMERY ST APT 104, LONGMONT, CO 80501-1565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
96
CO
101YP2500X
Professional Counselor
Primary
4256
CO
Other
Enumeration date
12/11/2013
Last updated
11/25/2019
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