Individual provider · Type 1 NPI

Jessica M. Boettiger

Professional Counselor · Lakewood, CO

NPI number 1780177204 Active

Practice location

1651 Kendall St
Lakewood, CO 80214-1412

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0018162 (CO)

Professional Counselor: Definition to come...

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About NPI 1780177204

Jessica M. Boettiger's National Provider Identifier is 1780177204, issued on Jun 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, CO. The record was last updated on Oct 16, 2026.