| Doctor Name: | JEANIE HELEN ROTHENMAIER |
| NPI Number: | 1043380405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 821 |
| Business Practice Address: | 607 10th St Ste 104 Golden, CO - 804011053 |
| Business Phone Number: | 3035624906 |
| Business Fax Number: | 3033843220 |
| Mailing Address: | 3154 Sulky Ln, EVERGREEN |
| State: | CO |
| Postal Code: | 804398623 |
| Phone Number: | 3036747127 |
| Fax Number: | 3033843220 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 02/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |