Individual
JILLIAN POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LAC, ATR
Contact information
Practice address
115 N COLLEGE AVE UNIT 200, FORT COLLINS, CO 80524-2480
(970) 430-6477
Mailing address
1601 E 17TH ST, LOVELAND, CO 80538-4250
(720) 388-5303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000984
CO
101YP2500X
Professional Counselor
Primary
LPC.0014813
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255117065
—
CO
Enumeration date
12/21/2016
Last updated
09/11/2023
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