Individual provider · Type 1 NPI

Jessica D. Wong, LPC, MA

Professional Counselor · Fort Collins, CO

NPI number 1639545296 Active

Practice location

700 Centre Ave
Fort Collins, CO 80526-2023

Call (970) 494-4200 Map

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0013464 (CO)

Professional Counselor: Definition to come...

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About NPI 1639545296

Jessica D. Wong, LPC, MA's National Provider Identifier is 1639545296, issued on Aug 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on May 31, 2019.