Individual provider · Type 1 NPI

Jessica Churnside, MED, LPC

Mental Health Counselor · Boulder, CO

NPI number 1861682007 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6173 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1861682007

Jessica Churnside, MED, LPC's National Provider Identifier is 1861682007, issued on Jul 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Mar 4, 2014.