Individual
JACQUELINE NICHOLE MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
318 27 3/8 ROAD, GRAND JCT, CO 81503-2054
(970) 312-4318
Mailing address
3147 HALLMARK PL, GRAND JUNCTION, CO 81504-6044
(970) 261-3335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MFT.0002639
CO
Other
Enumeration date
11/29/2019
Last updated
10/09/2024
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