Individual provider · Type 1 NPI

Jennifer Halecoulson, MA

Professional Counselor · Canon City, CO

NPI number 1104959121 Active

Practice location

3225 Independence Rd
Canon City, CO 81212-9380

Fax (719) 269-9386

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4379 (CO)

Professional Counselor: Definition to come...

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About NPI 1104959121

Jennifer Halecoulson, MA's National Provider Identifier is 1104959121, issued on Mar 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canon City, CO. The record was last updated on Jul 8, 2007.