Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3683
Mailing address
2980 EUCLID AVE APT 22, BOULDER, CO 80303-1818
(720) 297-0702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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