Individual
JACLYN NEUBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E SAINT VRAIN ST, COLORADO SPRINGS, CO 80903-1123
(719) 473-9200
Mailing address
4124 WESTMEADOW DR, APT 208, COLORADO SPRINGS, CO 80906-6034
(631) 278-0664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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