Provider Demographics
NPI:1457471591
Name:HELTON-DAVIS, JENNIFER F (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:F
Last Name:HELTON-DAVIS
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 1:2993 W LONG DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8169
Mailing Address - Country:US
Mailing Address - Phone:720-939-3805
Mailing Address - Fax:
Practice Address - Street 1:2993 W LONG DR
Practice Address - Street 2:UNIT D
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8169
Practice Address - Country:US
Practice Address - Phone:720-939-3805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9923371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91977843Medicaid