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Jodi Rae Mathison, LPC
Professional Counselor in Palmer Lake, Colorado
NPI 1134790173

Jodi Rae Mathison is a Professional Counselor based in Monument, CO and is specialized in Professional. Jodi Rae Mathison practices in Palmer Lake, CO and has the professional credentials of LPC. The NPI Number for Jodi Rae Mathison is 1134790173 and holds a License No. 0013952 (Colorado).

The current practice location address for Jodi Rae Mathison is 443 Co 105, Palmer Lake, CO and can be reached out via phone at 719-602-0914.

Location: 443 Co 105, Palmer Lake, CO, 80132-8552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134790173
Provider Name
Jodi Rae Mathison
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
443 Co 105, Palmer Lake, CO, 80132-8552
Phone Number
719-602-0914
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
443 Co 105
City
Palmer Lake
State
Colorado
Zip
80133
Phone Number
719-602-0914
Fax Number
person
Provider Business Mailing Address Details
Address
443 Co 105
City
Palmer Lake
State
Colorado
Zip
80133
Phone Number
719-602-0914
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0013952 (Colorado)
Definition
Definition to come...
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