Jacob Benjamin Kudeviz
Jacob Benjamin Kudeviz is a Professional Counselor in Lafayette, Colorado. Licensed in Colorado. Registered with an NPI since 2023.
- Licensed in
- CO
- In the registry since
- 2023
Practice location Address checks out
1300 Plaza Ct N Ste 101Lafayette, CO 80026-1467
Phone: (720) 515-4487
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (CO) |
|---|
Record details
| NPI number | 1801588470 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2023 |
| Last updated in NPPES | May 23, 2023 |
| Certification date | May 23, 2023 |
| Mailing address | 2635 Juniper Ave, Boulder, CO 80304-2456 |
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