Individual provider · Type 1 NPI
Jennifer Antoinette Goodtracks
Mental Health Counselor · Ignacio, CO
NPI number
1831754332
Active
Practice location
69 Capote Dr
Ignacio, CO 81137
Mailing address
PO Box 535
Ignacio, CO 81137-0535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | NLC0105139 (CO) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Ignacio
About NPI 1831754332
Jennifer Antoinette Goodtracks's National Provider Identifier is 1831754332, issued on May 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ignacio, CO. The record was last updated on May 9, 2019.