Individual
JESSICA CONSTANCE SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
2881 20TH ST, BOULDER, CO 80304-2703
(303) 579-3841
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
951630927
CO
Other
Enumeration date
10/12/2011
Last updated
03/11/2020
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