Individual provider · Type 1 NPI

Jenna Groshong, CAC II

Addiction (Substance Use Disorder) Counselor · Boulder, CO

NPI number 1922413681 Active

Practice location

3450 Broadway St
Boulder, CO 80304-1824

Mailing address

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACB0007421 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922413681

Jenna Groshong, CAC II's National Provider Identifier is 1922413681, issued on Jun 20, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 31, 2017.