Individual provider · Type 1 NPI
Jennifer Catherine Kubalak
Professional Counselor · Boulder, CO
NPI number
1740987973
Active
Practice location
4155 Darley Ave Ste F1
Boulder, CO 80305-6536
Fax (617) 807-0958
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC.0018370 (CO) |
Professional Counselor: Definition to come...
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About NPI 1740987973
Jennifer Catherine Kubalak's National Provider Identifier is 1740987973, issued on Feb 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Feb 27, 2023.