Provider Demographics
NPI:1770473613
Name:CAMERON, JENNIFER (MFTC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8795 RALSTON RD STE 113D
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2359
Mailing Address - Country:US
Mailing Address - Phone:720-772-7579
Mailing Address - Fax:
Practice Address - Street 1:8795 RALSTON RD STE 113D
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2359
Practice Address - Country:US
Practice Address - Phone:720-772-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014734106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist