Provider Demographics
NPI:1013044338
Name:BENKELMAN, JANNA LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:LYNN
Last Name:BENKELMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19557 E MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7393
Mailing Address - Country:US
Mailing Address - Phone:303-805-7168
Mailing Address - Fax:
Practice Address - Street 1:19557 E MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7393
Practice Address - Country:US
Practice Address - Phone:303-805-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional