Individual
LORAINE JENNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 PARKMOOR VILLAGE DR STE 102, COLORADO SPRINGS, CO 80917-5200
(719) 540-2146
Mailing address
2860 S CIRCLE DR STE 109, COLORADO SPRINGS, CO 80906-4195
(719) 540-2146
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3731
CO
103TC0700X
Clinical Psychologist
Primary
3731
CO
103TF0200X
Forensic Psychologist
3731
CO
Other
Enumeration date
04/21/2014
Last updated
04/22/2022
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