MEDICARE: MARTA JASINSKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0018625	CO

General Provider Information

NPI Number	:	1336859222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTA JASINSKA

Provider Business Mailing Address
First Line	:	126 GENESEE CT
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-4428
Country	:	US
Telephone Number	:	808-365-7150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 W 122ND AVE
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3495
Country	:	US
Telephone Number	:	720-458-0642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	12/01/2022

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Directions to “ MARTA JASINSKA ” Practice Location

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