MEDICARE: J CURTIS COUNSELING

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

General Provider Information

NPI Number	:	1588831689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J CURTIS COUNSELING

Provider Business Mailing Address
First Line	:	9362 TEDDY LN STE 206
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-2871
Country	:	US
Telephone Number	:	303-949-3357
Fax Number	:

Provider Business Practice Location Address
First Line	:	9362 TEDDY LN STE 206
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-2871
Country	:	US
Telephone Number	:	303-949-3357
Fax Number	:

Authorized Official
Title or Position	:	OWNER / THERAPIST
Name	:	JONATHAN C MINIFIE
Credential	:	MA, LPC
Telephone Number	:	303-949-3357

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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