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NPI Code Detail

MEDICARE: JENNIFER PELO LPC

MEDICARE: JENNIFER PELO LPC
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
1101YS0200XSchool CounselorCDE SPEC SRVS 5313CO
2101YM0800XMental Health CounselorLPC.0012333CO
3101YP2500XProfessional CounselorLPC.0012333CO
4101Y00000XCounselorLPC.0012333CO

General Provider Information

NPI Number : 1376917369
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER PELO LPC
Provider Business Mailing Address
First Line : 740 N SHERMAN ST
Second Line : #108
City : DENVER
State : CO
Zip : 80203-3520
Country : US
Telephone Number : 303-505-5262
Fax Number :
Provider Business Practice Location Address
First Line : 740 N SHERMAN ST
Second Line : #108
City : DENVER
State : CO
Zip : 80203-3520
Country : US
Telephone Number : 303-505-5262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2015
Last Update Date : 03/02/2017

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Directions to “ JENNIFER PELO LPC” Practice Location

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