| Wendy Jayvanti Lcsw Pc | |
|
390 South Potomac Street Suite C Aurora CO 80012 | |
| (720) 273-0278 | |
| (303) 447-8008 |
| Full Name | Wendy Jayvanti Lcsw Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 390 South Potomac Street, Aurora, Colorado |
| Authorized Official Name and Position | Wendy Jayvanti (LCSW) |
| Authorized Official Contact | 7202730278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Jayvanti Lcsw Pc 4490 Driftwood Pl Boulder CO 80301-3175 Ph: (720) 273-0278 | Wendy Jayvanti Lcsw Pc 390 South Potomac Street Suite C Aurora CO 80012 Ph: (720) 273-0278 |
| NPI Number | 1437323268 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437323268 | NPI | - | NPPES |
| C509458 | Other | CO | MEDICARE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 992394 (Colorado) | Primary |
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