| Doctor Name: | JAMIE LYNN CONTRERAZ |
| NPI Number: | 1003240052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAC 1 |
| License Number: | ACA 6954 |
| Business Practice Address: | 8801 Lipan St Thornton, CO - 802604912 |
| Business Phone Number: | 3034123960 |
| Business Fax Number: | 3034123344 |
| Mailing Address: | 8801 Lipan St, THORNTON |
| State: | CO |
| Postal Code: | 802604912 |
| Phone Number: | 3034123960 |
| Fax Number: | 3034123344 |
| NPI Enumeration Date: | 08/27/2013 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ACA 6954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |