Jennifer Antoinette Goodtracks Valid NPI
Individual provider · Mental Health Counselor · Ignacio, CO
- NPI
- 1831754332
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- NLC0105139 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-05-09
- Last updated
- 2019-05-09
Practice location
69 Capote Dr
Ignacio, CO 81137
(970) 563-4581