DEBRA JO LANDOLL MA LAC NPI 1942624630

NPI Information

NPI: 1942624630
Provider Name: DEBRA JO LANDOLL, MA, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1120 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 241-6011
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Debra Jo Landoll, MA, LAC is a mental health counselor in Grand Junction, CO. Debra Jo Landoll, MA, LAC NPI is 1942624630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501-129
Phone: (970) 241-6011
Fax: (970) 241-4650

The NPI 1942624630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 12/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0000613		No
2	101YM0800X	Counselor	Mental Health	LPC.0013950	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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