Individual provider · Type 1 NPI

Jeri Innis

Professional Counselor · Longmont, CO

NPI number 1477968170 Active

Practice location

529 Coffman St Ste 300
Longmont, CO 80501-5450

Mailing address

3830 Broadway St Apt 31
Boulder, CO 80304-1243

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1477968170

Jeri Innis's National Provider Identifier is 1477968170, issued on Jun 23, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longmont, CO. The record was last updated on Jun 23, 2014.