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Jennifer Antoinette Goodtracks
Mental Health Counselor in Ignacio, Colorado
NPI 1831754332

Jennifer Antoinette Goodtracks is a Mental Health Counselor based in Ignacio, CO and is specialized in Mental Health. Jennifer Antoinette Goodtracks practices in Ignacio, CO. The NPI Number for Jennifer Antoinette Goodtracks is 1831754332 and holds a License No. NLC0105139 (Colorado).

The current practice location address for Jennifer Antoinette Goodtracks is 69 Capote Dr, Ignacio, CO and can be reached out via phone at 970-563-4581.

Location: 69 Capote Dr, Ignacio, CO, 81137-0535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831754332
Provider Name
Jennifer Antoinette Goodtracks
Credential
Provider Entity Type
Individual
Gender
Female
Address
69 Capote Dr, Ignacio, CO, 81137-0535
Phone Number
970-563-4581
Fax Number
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NLC0105139 01 CO REGISTERED PSYCHOTHERAPIST
institution
Provider Business Practice Location Address Details
Address
69 Capote Dr
City
Ignacio
State
Colorado
Zip
81137
Phone Number
970-563-4581
Fax Number
person
Provider Business Mailing Address Details
Address
69 Capote Dr
City
Ignacio
State
Colorado
Zip
81137
Phone Number
970-563-4581
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
NLC0105139 (Colorado)
Definition
Definition to come...
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