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Individual

JENNIE J GERSHATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T, MA

Contact information

Practice address
1910 7TH ST, BOULDER, CO 80302-5026
(303) 827-4278
Mailing address
1910 7TH ST, BOULDER, CO 80302-5026
(303) 827-4278

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0010912
CO
172V00000X
Community Health Worker
174400000X
Specialist
225700000X
Massage Therapist
0004656
CO
374J00000X
Doula

Other

Enumeration date
01/24/2012
Last updated
03/07/2016
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