Provider Demographics
NPI:1871233155
Name:LOETHER, JENICA (MS COUNSELING)
Entity Type:Individual
Prefix:
First Name:JENICA
Middle Name:
Last Name:LOETHER
Suffix:
Gender:F
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8191 SOUTHPARK LN UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4641
Mailing Address - Country:US
Mailing Address - Phone:303-726-4560
Mailing Address - Fax:
Practice Address - Street 1:8191 SOUTHPARK LN UNIT 201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4641
Practice Address - Country:US
Practice Address - Phone:303-726-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional