MRS. Jacqueline Suzanne Hendrickson
NPI #1912248394 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1912248394
- Entity Type
- Individual
- Name
- MRS. Jacqueline Suzanne Hendrickson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Mar 8, 2013
- Last Updated
- May 31, 2013
Practice Location
- Address
- 1740 S COLLEGE AVE
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-1009
- Phone
- (970) 472-1207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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