Individual
JACOB WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1325 S COLORADO BLVD STE B705, DENVER, CO 80222-3383
(888) 528-3860
Mailing address
700 POTOMAC ST, AURORA, CO 80011-6844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09928893
CO
Other
Enumeration date
04/26/2022
Last updated
01/05/2023
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