Individual
JARED LEE HEASLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
179 PARKSIDE, COLORADO SPRINGS, CO 80910
(719) 572-6100
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0011385
CO
Other
Enumeration date
10/18/2011
Last updated
04/10/2013
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