MEDICARE: MS. JANE RENEE' ROBB M.A., M.DIV., L.P.C.

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 2177	CO

General Provider Information

NPI Number	:	1801940697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE RENEE' ROBB M.A., M.DIV., L.P.C.

Provider Business Mailing Address
First Line	:	PO BOX 33416
Second Line	:
City	:	NORTHGLENN
State	:	CO
Zip	:	80233-0416
Country	:	US
Telephone Number	:	720-436-8283
Fax Number	:	303-429-2923

Provider Business Practice Location Address
First Line	:	7100 BROADWAY
Second Line	:	3N
City	:	DENVER
State	:	CO
Zip	:	80221-2915
Country	:	US
Telephone Number	:	303-429-7100
Fax Number	:	303-429-2923

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/17/2016

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