Provider Demographics
NPI:1710756572
Name:JIACOLETTI, JANA (MFT)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:JIACOLETTI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12826 KING ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3853
Mailing Address - Country:US
Mailing Address - Phone:720-369-4776
Mailing Address - Fax:
Practice Address - Street 1:425 S CHERRY ST STE 810
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1235
Practice Address - Country:US
Practice Address - Phone:720-639-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist