Individual provider · Type 1 NPI

Jacob Benjamin Kudeviz

Professional Counselor · Lafayette, CO

NPI number 1801588470 Active

Practice location

1300 Plaza Ct N Ste 101
Lafayette, CO 80026-1467

Mailing address

2635 Juniper Ave
Boulder, CO 80304-2456

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1801588470

Jacob Benjamin Kudeviz's National Provider Identifier is 1801588470, issued on May 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lafayette, CO. The record was last updated on May 23, 2023.