Jodi Rae Mathison, LPC Valid NPI
Individual provider · Professional Counselor · Palmer Lake, CO
- NPI
- 1134790173
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 0013952 (CO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
Practice location
443 Co 105
Palmer Lake, CO 80133
(719) 602-0914