Individual
JACQUELINE LEIGH MABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1255 LEE ST, LAKEWOOD, CO 80215-4542
(720) 266-4444
Mailing address
1255 LEE ST, LAKEWOOD, CO 80215-4542
(720) 530-7579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0106180
CO
Other
Enumeration date
10/03/2016
Last updated
05/22/2019
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