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1366165078
JACKELINE MARTINEZ
LAFAYETTE, CO
NPI
1366165078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0019810)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
JACKELINE MARTINEZ LPCC
1455 DIXON AVE STE 300
LAFAYETTE, CO 80026-8880
Phone number: 303-443-8500
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Mailing Address
JACKELINE MARTINEZ LPCC
1300 30TH ST APT E4-23
BOULDER, CO 80303-7500
Phone number: 847-510-7464
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