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JACILYN BERRYMAN
School >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1881125417
Individual Registrant: JACILYN BERRYMAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
28101 E QUINCY AVE WATKINS, CO 80137-9502 US
Tel: 303-766-3000 Fax: --
Tel: 303-766-3000 Fax: --
Contact information for business:
4910 S DUQUESNE ST AURORA, CO 80016-5860 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1881125417
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YS0200X | Behavioral Health & Social Service Providers Counselor School |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
