Provider Demographics
NPI:1679979264
Name:FINK, JESSICA R (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:R
Last Name:FINK
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6710 E 135TH LN
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8522
Mailing Address - Country:US
Mailing Address - Phone:720-436-2392
Mailing Address - Fax:720-292-1815
Practice Address - Street 1:6363 W 120TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2406
Practice Address - Country:US
Practice Address - Phone:720-436-2392
Practice Address - Fax:720-292-1815
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health