Provider Demographics
NPI:1073630836
Name:JURAS, JOANNA MARY (MSW, LCSW, C)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:MARY
Last Name:JURAS
Suffix:
Gender:F
Credentials:MSW, LCSW, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 - 11TH AVE.
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631
Mailing Address - Country:US
Mailing Address - Phone:970-347-2310
Mailing Address - Fax:
Practice Address - Street 1:1306 - 11TH AVE.
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631
Practice Address - Country:US
Practice Address - Phone:970-347-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker