Healthcare Provider Details

I. General information

NPI: 1821397126
Provider Name (Legal Business Name): JENNIFER LYNN GLORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 S PARKER RD STE 1220
AURORA CO
80014-2733
US

IV. Provider business mailing address

9365 LARK SPARROW DR
HIGHLANDS RANCH CO
80126-5227
US

V. Phone/Fax

Practice location:
  • Phone: 720-327-9195
  • Fax:
Mailing address:
  • Phone: 720-327-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0001901
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: