Individual
JENNIFER WALLACE SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
14032 W EXPOSITION DR, LAKEWOOD, CO 80228-2322
(970) 389-0111
Mailing address
14032 W EXPOSITION DR, LAKEWOOD, CO 80228-2322
(970) 389-0111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11350
CO
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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