Individual provider · Type 1 NPI
Demitra Jamette Goodloe, MA LPC
Professional Counselor · Denver, CO
NPI number
1396091740
Active
Practice location
1133 Lincoln St
Denver, CO 80203-2110
Fax (303) 863-0705
Mailing address
2055 S Iola Ct
Aurora, CO 80014-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC-11706 (CO) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1396091740
Demitra Jamette Goodloe, MA LPC's National Provider Identifier is 1396091740, issued on Aug 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denver, CO. The record was last updated on May 5, 2014.