Most Relevant Information
Provider Data
| NPI Number: | 1003445552 |
| Provider Name: | JENNI MCDADE MA, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2020 |
| Last Updated: | 04/07/2020 |
Provider Practice Location
600 S AIRPORT RD
LONGMONT
CO
805036424
Practice Location Phone/Fax
| Phone: | 3035798642 |
| Fax: |
Provider Mailing Location
933 SANDSTONE DR
LYONS
CO
805408833
Provider Mailing Phone/Fax
| Phone: | 3035798642 |
| Fax: |