Provider Demographics
NPI:1518507623
Name:JOBE, CLAIRE J (LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:J
Last Name:JOBE
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 BRADFORD SQ
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6005
Mailing Address - Country:US
Mailing Address - Phone:682-225-9948
Mailing Address - Fax:
Practice Address - Street 1:323 W DRAKE RD STE 124
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-8123
Practice Address - Country:US
Practice Address - Phone:970-800-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83181101YM0800X
CO0017419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health