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NPI Code Detail

MEDICARE: MS. JILL LAUREN FERRETTI LPC, MAFP

MEDICARE: MS. JILL LAUREN FERRETTI LPC, MAFP
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
1101YP2500XProfessional Counselor6374CO
2101YM0800XMental Health Counselor6374CO
3101Y00000XCounselor6374CO
4103K00000XBehavior Analyst6374CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477709939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL LAUREN FERRETTI LPC, MAFP
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-1250
Fax Number :
Provider Business Practice Location Address
First Line : 1440 GROVE ST UNIT A
Second Line :
City : DENVER
State : CO
Zip : 80204-2201
Country : US
Telephone Number : 734-646-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 08/15/2012

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