Individual
JACQUELINE JULIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 DELWOOD AVE, DURANGO, CO 81301-4543
(970) 946-3709
Mailing address
2508 DELWOOD AVE, DURANGO, CO 81301-4543
(970) 946-3709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0014402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014402
COLORADO DIVISION OF REGULATORY AFFAIRS
CO
Enumeration date
07/07/2021
Last updated
12/15/2025
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