Individual
JACLYN DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2560 W 29TH AVE, DENVER, CO 80211-3712
(303) 477-8280
Mailing address
12510 ROOSEVELT LN APT E1, ENGLEWOOD, CO 80112-7028
(720) 296-4165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007954
CO
101YM0800X
Mental Health Counselor
NLC.0105727
CO
1041C0700X
Clinical Social Worker
88755
CA
1041C0700X
Clinical Social Worker
Primary
CSW.09925552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84902248
—
CO
Enumeration date
08/26/2016
Last updated
02/12/2025
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