| NPI | 1053066720 |
|---|---|
| Doing Business As | JACQUELINE JULIANA LICENSED PROFESSIONAL COUNSELOR |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JULIANA Lpc 970-946-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |