Individual
JEANNE LEE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 754-3187
(719) 543-1017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017884
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/04/2017
Last updated
09/22/2022
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