Individual
MS. ANNA JEMUTAI RARTAKUT-K
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
3301 S BELLAIRE ST, DENVER, CO 80222-7204
(720) 882-7196
Mailing address
3301 S BELLAIRE ST, DENVER, CO 80222-7204
(720) 882-7196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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