Individual
JENNIFER BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2032 LOWE ST, STE. 200, FORT COLLINS, CO 80525-5741
(970) 232-1146
(970) 266-1799
Mailing address
2032 LOWE ST, STE. 200, FORT COLLINS, CO 80525-5741
(970) 266-1146
(970) 266-1799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4049
CO
101YP2500X
Professional Counselor
Primary
0004049
CO
Other
Enumeration date
12/31/2012
Last updated
08/15/2023
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