Individual
JACQUELINE DANIELLE LEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6703 FRASER CIR, FREDERICK, CO 80530-7144
(303) 521-7574
Mailing address
6703 FRASER CIR, FREDERICK, CO 80530-7144
(303) 521-7574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0021349
CO
Other
Enumeration date
01/22/2024
Last updated
04/25/2025
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