Organization
HUMAN THEORY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN GASPER JACQUES LPC (OWNER)
(303) 513-3391
Entity
Organization
Contact information
Practice address
2301 E ST NW APT A416, WASHINGTON, DC 20037-2806
(303) 513-3391
Mailing address
2301 E ST NW APT A416, WASHINGTON, DC 20037-2806
(303) 513-3391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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