Individual
JILL LUBANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
8600 RALSTON RD, ARVADA, CO 80002-2371
(720) 460-0246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY.0004819
CO
103TC2200X
Clinical Child & Adolescent Psychologist
4819
CO
Other
Enumeration date
07/30/2015
Last updated
12/02/2021
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