Healthcare Provider Details

I. General information

NPI: 1366556649
Provider Name (Legal Business Name): ALISON LEVENTHAL-JOUCOVSKY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S TAMARAC DR
DENVER CO
80231-4394
US

IV. Provider business mailing address

3201 S TAMARAC DR
DENVER CO
80231-4394
US

V. Phone/Fax

Practice location:
  • Phone: 303-597-5000
  • Fax: 303-597-7700
Mailing address:
  • Phone: 303-597-5000
  • Fax: 303-597-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: