Provider Demographics
NPI:1770237406
Name:COTTON, JORIE MODENA (LPC)
Entity Type:Individual
Prefix:
First Name:JORIE
Middle Name:MODENA
Last Name:COTTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 N WASHINGTON ST UNIT 127
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4279
Mailing Address - Country:US
Mailing Address - Phone:312-399-1279
Mailing Address - Fax:
Practice Address - Street 1:255 N WASHINGTON ST UNIT 127
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4279
Practice Address - Country:US
Practice Address - Phone:312-399-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health