Individual
JEREMY JON PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHA/PRC
Contact information
Practice address
801 S TEJON ST, COLORADO SPRINGS, CO 80903-4148
(719) 644-4387
Mailing address
801 S TEJON ST, COLORADO SPRINGS, CO 80903-4148
(719) 644-4387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CO
175T00000X
Peer Specialist
Primary
—
CO
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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