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Individual

JENNA GROSHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC II

Contact information

Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 441-1281

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB0007421
CO

Other

Enumeration date
06/20/2014
Last updated
07/31/2017
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