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Individual

JAYLYN S GOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 786-9314
Mailing address
1143 PORTLAND PL, #4, BOULDER, CO 80304-8217
(720) 749-3527

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/07/2016
Last updated
12/18/2025
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