Provider Demographics
NPI:1053023549
Name:DENEAU, JILLIAN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:DENEAU
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 COLUMBINE ST APT 103
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2329
Mailing Address - Country:US
Mailing Address - Phone:906-280-0748
Mailing Address - Fax:
Practice Address - Street 1:1365 COLUMBINE ST APT 103
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2329
Practice Address - Country:US
Practice Address - Phone:906-280-0748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No173C00000XOther Service ProvidersReflexologist