Individual
JACQUELINE MARIE RAIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10045 W DARTMOUTH AVE APT 109, LAKEWOOD, CO 80227-5626
(720) 841-2507
Mailing address
10045 W DARTMOUTH AVE APT 109, LAKEWOOD, CO 80227-5626
(720) 841-2507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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