Individual
JACQUE KAY SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8745 W 14TH AVE STE 120, LAKEWOOD, CO 80215-4850
(303) 237-1113
Mailing address
8745 W 14TH AVE STE 120, LAKEWOOD, CO 80215-4850
(303) 237-1113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6430
CO
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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