Provider Demographics
NPI:1699488502
Name:JENNIFER ANN COUNSELING, LLC
Entity type:Organization
Organization Name:JENNIFER ANN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOHLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-357-5638
Mailing Address - Street 1:10 BOULDER CRESCENT ST STE 204A
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3355
Mailing Address - Country:US
Mailing Address - Phone:719-357-5638
Mailing Address - Fax:
Practice Address - Street 1:10 BOULDER CRESCENT ST STE 204A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3355
Practice Address - Country:US
Practice Address - Phone:719-357-5638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty