Individual
JUSTINE FEAGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(863) 508-0781
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0017278
CO
101YM0800X
Mental Health Counselor
MH17735
FL
Other
Enumeration date
09/18/2013
Last updated
03/23/2022
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