Jennie Albert

Individual provider Active NPI Mental Health Counselor · Durango, CO

NPI 1609476142 · NPPES record last updated Oct 26, 2020

Key facts

NPI
1609476142
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LPC.0013402 (CO)
Practice address
801 Florida Rd Unit 14
Durango, CO 81301-4775
Phone
(970) 903-8146
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC.0013402COMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0013402 CO Yes

Addresses

Primary practice location

801 Florida Rd Unit 14
Durango, CO 81301-4775

Mailing address

414 Hillcrest Dr
Durango, CO 81301-6522
Phone (970) 903-8146

Other identifiers

IdentifierTypeStateIssuer
LPC.0013402OtherCOGENERAL

Electronic endpoints

TypeEndpointUseAffiliation
Other URL doxy.me Direct

Other providers in Durango, CO

All providers in Durango, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.