Individual
DR. JACQUELINE RENEE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1756 N HIGH ST, DENVER, CO 80218-1300
(303) 388-8144
Mailing address
1756 N HIGH ST, DENVER, CO 80218-1300
(303) 388-8144
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3973
CO
103TC1900X
Counseling Psychologist
3973
CO
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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