Provider Demographics
NPI:1295060192
Name:CORI, JASMIN LEE (LPC)
Entity type:Individual
Prefix:MS
First Name:JASMIN
Middle Name:LEE
Last Name:CORI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 ONEAL CIR
Mailing Address - Street 2:APT. 31
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1424
Mailing Address - Country:US
Mailing Address - Phone:303-938-1178
Mailing Address - Fax:
Practice Address - Street 1:3250 ONEAL CIR
Practice Address - Street 2:APT. 31
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1424
Practice Address - Country:US
Practice Address - Phone:303-938-1178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO662101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional