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Jacob Benjamin Kudeviz
Professional Counselor in Lafayette, Colorado
NPI 1801588470

Jacob Benjamin Kudeviz is a Professional Counselor based in Boulder, CO and is specialized in Professional. Jacob Benjamin Kudeviz practices in Lafayette, CO. The NPI Number for Jacob Benjamin Kudeviz is 1801588470 and holds a License No. (Colorado).

The current practice location address for Jacob Benjamin Kudeviz is 1300 Plaza Ct N Ste 101, Lafayette, CO and can be reached out via phone at 720-515-4487.

Location: 1300 Plaza Ct N Ste 101, Lafayette, CO, 80304-2456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801588470
Provider Name
Jacob Benjamin Kudeviz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1300 Plaza Ct N Ste 101, Lafayette, CO, 80304-2456
Phone Number
720-515-4487
Fax Number
Provider Enumeration Date
05/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Plaza Ct N Ste 101
City
Lafayette
State
Colorado
Zip
80026-1467
Phone Number
720-515-4487
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Plaza Ct N Ste 101
City
Lafayette
State
Colorado
Zip
80026-1467
Phone Number
720-515-4487
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Colorado)
Definition
Definition to come...
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