| Authentic Journeys, Llc | |
|
9351 Grant St Suite 480 Thornton CO 80229-4358 | |
| (303) 882-4679 | |
| (303) 479-8025 |
| Full Name | Authentic Journeys, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9351 Grant St, Thornton, Colorado |
| Authorized Official Name and Position | Jennifer Nakata (OWNER/THERAPIST) |
| Authorized Official Contact | 3038824679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Journeys, Llc Po Box 29737 Thornton CO 80229-0737 Ph: (303) 882-4679 | Authentic Journeys, Llc 9351 Grant St Suite 480 Thornton CO 80229-4358 Ph: (303) 882-4679 |
| NPI Number | 1285182188 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285182188 | NPI | - | NPPES |
| 1285031070 | Other | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4089 (Colorado) | Primary |
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