Provider Demographics
NPI:1598123648
Name:JAMIESON, JAYMA LYNNE (MA)
Entity Type:Individual
Prefix:MS
First Name:JAYMA
Middle Name:LYNNE
Last Name:JAMIESON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7831 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-5038
Mailing Address - Country:US
Mailing Address - Phone:303-579-5134
Mailing Address - Fax:
Practice Address - Street 1:325 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1130
Practice Address - Country:US
Practice Address - Phone:303-579-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health