Individual
JAYNE A STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
179 PARKSIDE, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 572-6399
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
(719) 572-6080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6554
CO
Other
Enumeration date
12/09/2010
Last updated
08/02/2012
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