NPI 1003212200

Jessica Renee Kudlock, LCSW

Practitioner Clinical Social Worker Denver, CO

Practice location

Address: 777 Bannock St, Denver, CO 80204-4507
Phone: (303) 602-7220
Fax: (303) 436-7381

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 09923361 (CO)

Other Social Worker providers in Colorado →

Registry record

NPI: 1003212200
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2014
Record last updated: 15 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.