Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1134897994 |
---|---|
Provider Name | Jessica May Carpenter |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2021 |
Last Update Date | 04/09/2021 |