Individual
JENNIFER MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
208 RACQUETTE DR, FORT COLLINS, CO 80524-4851
(970) 430-6311
Mailing address
2904 FRACTUS ST, TIMNATH, CO 80547-4473
(505) 980-1135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0017481
CO
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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