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Individual

JENNIFER CHRISTINE HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CACIII

Contact information

Practice address
4195 S BROADWAY, ENGLEWOOD, CO 80113-4794
(303) 806-0933
Mailing address
3489 W 72ND AVE STE 105, WESTMINSTER, CO 80030-5314
(303) 412-7723
(303) 412-0329

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/04/2018
Last updated
06/04/2018
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