Individual
MS. JACQUELYN L UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,LPC
Contact information
Practice address
4601 CORBETT DR, FT COLLINS, CO 80528-9579
(970) 207-4800
(970) 207-4805
Mailing address
4601 CORBETT DR, FT COLLINS, CO 80528-9579
(970) 207-4800
(970) 207-4805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1598
CO
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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