Provider Demographics
NPI:1639767684
Name:WEIGEL, JOY ANN (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:WEIGEL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ANN
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1424 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-4226
Mailing Address - Country:US
Mailing Address - Phone:720-526-9315
Mailing Address - Fax:
Practice Address - Street 1:1424 9TH AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4226
Practice Address - Country:US
Practice Address - Phone:720-526-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020341101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health