Andersen, Jamie Michelle

Andersen, Jamie Michelle is an sole proprietor health care provider with primary practice located at 321 W Henrietta Ave Unit B , Woodland Park CO 80863-5045. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Andersen, Jamie Michelle can be contacted via phone (719) 360-0802.

Contact Information

Primary practice address
321 W Henrietta Ave Unit B Woodland Park CO 80863-5045
Phone: (719) 360-0802
Fax: (719) 687-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 555 Colorado

Profile Details

NPI number 1013085026
LBN Legal business name Andersen, Jamie Michelle
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jan 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013085026 NPPES
Colorado MEDICAID 532797

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