Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE SUZANNE HENDRICKSON
Active Sole ProprietorMRS. JACQUELINE SUZANNE HENDRICKSON is a Adolescent and Children Mental Health Clinic healthcare provider located in FORT COLLINS, Colorado. NPI 1912248394 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · FORT COLLINS, CO
Registration Details
- NPI Number
- 1912248394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2013 (13.391808498839 yrs)
- Last Updated
- May 31, 2013
- Licenses
-
13683 (CO)13683 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1740 S COLLEGE AVEFORT COLLINS, CO, 805251009Browse CO providers · Browse ZIP 80525
- Phone
- 9704721207
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.