Provider Demographics
NPI:1992929806
Name:JONES, LORI INGWERSON (LPC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:INGWERSON
Last Name:JONES
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 1:2069 JAROSA LN
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8241
Mailing Address - Country:US
Mailing Address - Phone:720-207-1308
Mailing Address - Fax:303-499-0274
Practice Address - Street 1:1314 MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1586
Practice Address - Country:US
Practice Address - Phone:720-207-1308
Practice Address - Fax:303-499-0274
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health