Jamie S Fetkewicz, MA
Individual provider Active NPI Counselor · Evans, CO
NPI 1467828467 · NPPES record last updated Aug 13, 2015
Key facts
- NPI
- 1467828467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2930 11TH Ave
Evans, CO 80620-1011 - Phone
- (970) 347-2120
- NPI assigned
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2930 11TH Ave
Evans, CO 80620-1011
Mailing address
1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120
Other providers in Evans, CO
- Envision Creative Support for People With Developmental Disabilities
- Envision-Creative Support for People With Developmental Disabilities
- Envision-Creative Support for People With Developmental Disabilities
- Envision-Creative Support for People With Developmental Disabilities
- Collin Rhys Felix
- Sean Thomas Filipovitz
- Gregory Finnoff
- Myka Dawn Fisher
- Kathy Flores
- Focus Point Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.