MEDICARE: CAROLINE ANN JUNG 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
1	101YP2500X	Professional Counselor	LPC.0023856	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LPC.0023856	OTHER	CO	LPC

General Provider Information

NPI Number	:	1376304337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE ANN JUNG LPC

Provider Business Mailing Address
First Line	:	1355 S COLORADO BLVD STE 502
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3322
Country	:	US
Telephone Number	:	720-282-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 S COLORADO BLVD STE 502
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3322
Country	:	US
Telephone Number	:	720-282-9750
Fax Number	:

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

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	06/10/2026

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