JENNY PROFFER
NPI 1235389636
Counselor - Mental Health in Pueblo, CO
Active since September 23, 2008
About Jenny Proffer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY PROFFER (NPI 1235389636) is an individual mental health provider in Pueblo, Colorado and active in the NPI registry since September 2008.
NPPES Registry Identity
NPI1235389636
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNY PROFFER
Location Address1026 W ABRIENDO AVEPueblo, CO 81004-1128
Mailing Address1310 Chinook LnPueblo, CO 81001-1851 · (719) 562-3222 · Fax (719) 545-4100
Phone(719) 562-3222
Fax(719) 545-4100
Sole ProprietorYes
Enumeration DateSeptember 23, 2008
✔ NPI 1235389636 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1026 W ABRIENDO AVE, Pueblo, CO 81004
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235389636, enumerated as an "individual" on September 23, 2008.
The provider is located at 1026 W ABRIENDO AVE PUEBLO, CO 81004 and the phone number is (719) 562-3222.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.