Provider Demographics
NPI:1649871021
Name:HARRO, JACQUIE RENEE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:JACQUIE
Middle Name:RENEE
Last Name:HARRO
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6387 WILLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2155
Mailing Address - Country:US
Mailing Address - Phone:303-483-8289
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR STE 185
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2127
Practice Address - Country:US
Practice Address - Phone:970-460-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017862101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor