Individual provider · Type 1 NPI
Jenille Ann Gudahl, LPC, LAC
Professional Counselor · Grand Jct, CO
NPI number
1386017812
Active
Practice location
751 Horizon Ct Ste 111
Grand Jct, CO 81506-8718
Fax (970) 644-5147
Mailing address
598 Shoshone St
Grand Jct, CO 81504-5681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000936 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC.0015498 (CO) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1386017812
Jenille Ann Gudahl, LPC, LAC's National Provider Identifier is 1386017812, issued on Nov 5, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Jct, CO. The record was last updated on Apr 3, 2026.