Individual
JACQUELINE REITSMA
Active
Individual
JACQUELINE REITSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5901
CO
101YP2500X
Professional Counselor
Primary
LPC.0005901
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63830094
—
CO
Enumeration date
03/30/2011
Last updated
01/18/2024
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