Cooley, Jessica Fern
Cooley, Jessica Fern is an sole proprietor health care provider with primary practice located at 2401 Broadway St # 211 , Boulder CO 80304-4108. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Cooley, Jessica Fern can be contacted via phone (720) 771-6109.Contact Information
Primary practice address
2401 Broadway St # 211
Boulder CO 80304-4108
Phone: (720) 771-6109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | NLC.0107681 | Colorado |
Profile Details
| NPI number | 1013405893 |
|---|---|
| LBN Legal business name | Cooley, Jessica Fern |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2018 |
| Last updated | Apr 26th, 2018 - about 6 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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