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Individual

MR. JEFFREY DAVID FAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LPC, CACIII

Contact information

Practice address
155 INVERNESS DR W, ENGLEWOOD, CO 80112-5095
(303) 730-8858
Mailing address
155 INVERNESS DR W, ENGLEWOOD, CO 80112-5095
(303) 730-8858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0020815
CO
101YP2500X
Professional Counselor
Primary
LPC.0011543
CO

Other

Enumeration date
02/11/2008
Last updated
12/10/2013
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