| Jenna Rose, Inc. | |
|
804 11th Ave Greeley CO 80631-3246 | |
| (970) 518-5757 | |
| Not Available |
| Full Name | Jenna Rose, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 804 11th Ave, Greeley, Colorado |
| Authorized Official Name and Position | Christina H. Hiratzka (DIRECTOR) |
| Authorized Official Contact | 9705185757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Rose, Inc. 7205 Poudre River Rd Unit 3 Greeley CO 80634-9375 Ph: (970) 518-5757 | Jenna Rose, Inc. 804 11th Ave Greeley CO 80631-3246 Ph: (970) 518-5757 |
| NPI Number | 1003036534 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003036534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NLC-6686 (Colorado) | Primary |
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