Individual provider · Type 1 NPI

Heidi Jaye Fedor, LPC, LMFT

Professional Counselor · Boulder, CO

NPI number 1386767200 Active

Practice location

350 Broadway St, Suite 205
Boulder, CO 80305-3343

Mailing address

2978 Thunder Lake Cir
Lafayette, CO 80026-9446

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X460 (CO)
Professional Counselor Primary 101YP2500X1931 (CO)

Professional Counselor: Definition to come...

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About NPI 1386767200

Heidi Jaye Fedor, LPC, LMFT's National Provider Identifier is 1386767200, issued on Apr 7, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jun 5, 2017.