Organization
JODY PENDLETON PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY L PENDLETON PSYD, LPC (LICENSED PROFESSIONAL COUNSELOR)
(719) 251-0773
Entity
Organization
Contact information
Practice address
2480 HIGH ST, CANON CITY, CO 81212-8746
(719) 251-0773
Mailing address
2480 HIGH ST, CANON CITY, CO 81212-8746
(719) 251-0773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2859
CO
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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