Provider Demographics
NPI:1912479718
Name:PIERCE, JEANNE ANN (LPC)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:ANN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10465 MELODY DR STE 309
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4112
Mailing Address - Country:US
Mailing Address - Phone:303-280-1112
Mailing Address - Fax:303-280-1119
Practice Address - Street 1:10465 MELODY DR STE 309
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4112
Practice Address - Country:US
Practice Address - Phone:303-280-1112
Practice Address - Fax:303-280-1119
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3322101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health