MEDICARE: JANET JONES-DUKELLIS 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	2771	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1750429924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET JONES-DUKELLIS LPC

Provider Business Mailing Address
First Line	:	2625 BROGANS BLUFF DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-3566
Country	:	US
Telephone Number	:	719-264-6835
Fax Number	:	719-590-1575

Provider Business Practice Location Address
First Line	:	315 N WEBER ST
Second Line	:	SUITE 300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1230
Country	:	US
Telephone Number	:	719-264-6835
Fax Number	:	719-590-1575

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/09/2007

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