Provider Demographics
NPI:1962938670
Name:JOBE, CYNTHIA DENES (MS, LAC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DENES
Last Name:JOBE
Suffix:
Gender:
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 E COUNTY LINE RD STE B-205
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3527
Mailing Address - Country:US
Mailing Address - Phone:303-618-2022
Mailing Address - Fax:
Practice Address - Street 1:7120 S EUDORA CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2434
Practice Address - Country:US
Practice Address - Phone:303-618-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
COACD.0002203101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty