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JAYCOB GONZALES-CORDOVA
NPI 1003302902
Counselor in Pueblo, CO

Active since July 03, 2018
1302 CHINOOK LN, PUEBLO, CO 81001(719) 545-2746(719) 423-1882 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaycob Gonzales-cordova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYCOB GONZALES-CORDOVA (NPI 1003302902) is an individual counselor in Pueblo, Colorado and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1003302902
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJAYCOB GONZALES-CORDOVA
Location Address1302 CHINOOK LNPueblo, CO 81001-1851
Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 545-4100
Phone(719) 545-2746
Fax(719) 423-1882
Sole ProprietorNo
Enumeration DateJuly 3, 2018
✔ NPI 1003302902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1302 CHINOOK LN, Pueblo, CO 81001
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH SOLUTIONS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
RAQUEL ARAGON
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
SAMANTHA KELLER
Registered Nurse
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
CHRISTY BURNETT
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
RICCO NANCY JULIA LCPC
Counselor (Professional)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
KIRSTEN MONTGOMERY
Counselor (Mental Health)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
VANESSA BENAVIDEZ CST, FA
Specialist/Technologist, Other (Surgical Technologist)
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746
JAYDE SHAFFER
Counselor
1302 CHINOOK LN
PUEBLO, CO 81001
Pueblo County (719) 545-2746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaycob Gonzales-cordova's NPI number?

The NPI number for Jaycob Gonzales-cordova is 1003302902. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Jaycob Gonzales-cordova located?

Jaycob Gonzales-cordova practices at 1302 Chinook Ln, Pueblo, CO 81001. The listed phone number is (719) 545-2746.

What is Jaycob Gonzales-cordova's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jaycob Gonzales-cordova was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.