Individual
JENNIFER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
222 W MAGNOLIA ST, FORT COLLINS, CO 80521-2812
(970) 490-1309
Mailing address
527 EDWARDS ST, FORT COLLINS, CO 80524-3811
(970) 227-6359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC0009316
CO
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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