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Organization
WENDY JAYVANTI LCSW PC
Active
Organization
WENDY JAYVANTI LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY JAYVANTI MSW (LCSW)
(720) 273-0278
Entity
Organization
Contact information
Practice address
390 SOUTH POTOMAC STREET, SUITE C, AURORA, CO 80012
(720) 273-0278
(303) 447-8008
Mailing address
4490 DRIFTWOOD PL, BOULDER, CO 80301-3175
(720) 273-0278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
992394
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C509458
MEDICARE ID NUMBER
CO
Enumeration date
04/14/2008
Last updated
04/14/2008
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