Provider Demographics
NPI:1437806106
Name:LEES, JILLIAN Q (LCSW)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:Q
Last Name:LEES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7958 W 54TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3603
Mailing Address - Country:US
Mailing Address - Phone:720-772-9735
Mailing Address - Fax:
Practice Address - Street 1:5738 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2535
Practice Address - Country:US
Practice Address - Phone:720-772-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099300511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1437806106OtherMEER SOUL COUNSELING PLLC