Individual
JESSICA TARA COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2950 TENNYSON ST, DENVER, CO 80212-3029
(720) 855-3410
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
(720) 855-3410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6151
CO
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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