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Individual

JESSICA M BOETTIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1724 GILPIN ST, DENVER, CO 80218
(720) 882-7172
Mailing address
2849 ROSE HILL ST, STRASBURG, CO 80136-7427
(720) 882-7172

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0016069
CO
101YP2500X
Professional Counselor
Primary
LPC.0018162
CO

Other

Enumeration date
06/09/2018
Last updated
09/05/2024
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