JESSICA DUNKS, LPC - NPI NUMBER 1952582652

Summary

Provider Name: JESSICA DUNKS, LPC

NPI Number: 1952582652

Clasification: Counselor (101Y00000X)

Address:
924 INDIANA AVE
PUEBLO, CO
ZIP 81004

Phone Number: (719) 564-9039



Detailed Information

Jessica Dunks, LPC is a counselor in Pueblo, CO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master�s degree and clinical experience and supervision for licensure or certification. The assigned NPI number for this provider is 1952582652 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

924 INDIANA AVE
PUEBLO, CO
ZIP 81004-747
Phone: (719) 564-9039

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

Map - Location of Practice

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Taxonomy Codes

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 101Y00000X Counselor 2926 CO Yes

NPI Record

No. Field Name Field Value
1 NPI 1952582652
2 Entity Type Code 1
3 Provider Last Name Legal Name DUNKS
4 Provider First Name JESSICA
5 Provider Credential Text LPC
6 Provider First Line Business Practice Location Address 924 INDIANA AVE
7 Provider Business Practice Location Address City Name PUEBLO
8 Provider Business Practice Location Address State Name CO
9 Provider Business Practice Location Address Postal Code 810043747
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 7195649039
12 Provider Enumeration Date 11/21/2007
13 Last Update Date 11/21/2007
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101Y00000X
16 Provider License Number 1 2926
17 Provider License Number State Code 1 CO
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.