Individual
JAKE ANDREW WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAC
Contact information
Practice address
1890 N REVERE CT, AURORA, CO 80045-7464
(303) 724-4987
Mailing address
10733 KIMBALL ST, PARKER, CO 80134-7616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001051
CO
101YM0800X
Mental Health Counselor
LPC.0014820
CO
101YP2500X
Professional Counselor
Primary
LPC.0014820
CO
Other
Enumeration date
07/08/2016
Last updated
11/18/2024
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