Individual
JESSICA THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
625 MAIN ST STE 2B, LOUISVILLE, CO 80027-1893
(720) 606-4794
Mailing address
625 MAIN ST STE 2B, LOUISVILLE, CO 80027-1893
(720) 606-4794
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0005131
CO
Other
Enumeration date
07/22/2016
Last updated
12/01/2020
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