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Individual

JESSICA LYNN WHITESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-1216
Mailing address
713 CALEDONIA ST, LOUISVILLE, CO 80027-1703
(720) 352-1743

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4578
CO

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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