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NPI Code Detail

MEDICARE: ESSENCE JENNINGS-WARD

MEDICARE: ESSENCE JENNINGS-WARD
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1700726395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESSENCE JENNINGS-WARD
Provider Business Mailing Address
First Line : 1925 DOMINION WAY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1483
Country : US
Telephone Number : 719-300-5735
Fax Number :
Provider Business Practice Location Address
First Line : 1925 DOMINION WAY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1483
Country : US
Telephone Number : 719-300-5735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ ESSENCE JENNINGS-WARD ” Practice Location

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