Jodi Rae Mathison, LPC
NPI #1134790173 in Palmer Lake, Colorado
Provider Information
- NPI Number
- 1134790173
- Entity Type
- Individual
- Name
- Jodi Rae Mathison, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 9, 2021
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 443 CO 105
- City
- Palmer Lake
- State
- Colorado
- ZIP Code
- 80133
- Phone
- (719) 602-0914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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