MEDICARE: DR. JILL VERONICA PINAROWICZ LP, 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	LPC-4811	CO
2	103TC1900X	Counseling Psychologist	4469	AZ
3	103TC1900X	Counseling Psychologist	4050	CO

General Provider Information

NPI Number	:	1912148784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL VERONICA PINAROWICZ LP, LPC

Provider Business Mailing Address
First Line	:	2150 W 29TH AVE
Second Line	:	SUITE 330
City	:	DENVER
State	:	CO
Zip	:	80211-3844
Country	:	US
Telephone Number	:	720-413-3071
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 W 29TH AVE
Second Line	:	SUITE 330
City	:	DENVER
State	:	CO
Zip	:	80211-3844
Country	:	US
Telephone Number	:	720-413-3071
Fax Number	:

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

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	06/05/2014

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