Healthcare Provider Details

I. General information

NPI: 1497661631
Provider Name (Legal Business Name): JESLY OTERO-VILLAFANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9796 E MEXICO AVE APT 1214
AURORA CO
80247-6240
US

IV. Provider business mailing address

9796 E MEXICO AVE APT 1214
AURORA CO
80247-6240
US

V. Phone/Fax

Practice location:
  • Phone: 713-502-8871
  • Fax:
Mailing address:
  • Phone: 713-502-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025274
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: