Individual
JACQUELYN ELAINE OTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20971 E SMOKY HILL RD STE 204, AURORA, CO 80015-5187
(720) 507-1755
Mailing address
20971 E SMOKY HILL RD STE 204, AURORA, CO 80015-5187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWC.0000001933
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2023
Last updated
05/22/2024
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