| Jade Latimer Enterprises, Llc | |
|
3201 W Scott Place Denver CO 80211 | |
| (918) 557-7794 | |
| Not Available |
| Full Name | Jade Latimer Enterprises, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3201 W Scott Place, Denver, Colorado |
| Authorized Official Name and Position | Catherine Jade Latimer (OWNER/PROVIDER) |
| Authorized Official Contact | 9185577794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Latimer Enterprises, Llc 3201 W Scott Place Denver CO 80211 Ph: (918) 557-7794 | Jade Latimer Enterprises, Llc 3201 W Scott Place Denver CO 80211 Ph: (918) 557-7794 |
| NPI Number | 1285081364 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285081364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5804 (Oklahoma) | Primary |
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