Organization
JAY D FELLERS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY D FELLERS LCSW (PRESIDENT)
(303) 947-4071
Entity
Organization
Contact information
Practice address
2755 S LOCUST ST, SUITE 113, DENVER, CO 80222-7126
(303) 947-4071
(303) 753-4650
Mailing address
2755 S LOCUST ST, SUITE 113, DENVER, CO 80222-7126
(303) 947-4071
(303) 753-4650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20081337835
CO
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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