Provider Information for 1043639305
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JESSE L SCHRAMM LPC, SOMB
Sex: Male
NPI: 1043639305
Last Updated: 2023-01-02
Certification Date: 2023-01-02
Certification Date: 2023-01-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043639305 | ||||||||
| Enumeration Date | 2014-04-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8191 SOUTHPARK LN UNIT 201 LITTLETON, CO 80120-4641 United States Phone: 303-726-4560 | Fax: | ||||||||
| Primary Practice Address | 8191 SOUTHPARK LN UNIT 201 LITTLETON, CO 80120-4641 United States Phone: 303-726-4560 | Fax: | ||||||||
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