Individual
JEFFREY JOHN WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
6909 S HOLLY CIR STE 304, CENTENNIAL, CO 80112-1045
(720) 507-8424
Mailing address
6909 S HOLLY CIR STE 304, CENTENNIAL, CO 80112-1045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0015695
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000177292
—
CO
Enumeration date
12/11/2017
Last updated
03/26/2024
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