Provider Demographics
NPI:1821360439
Name:LEIN, JANICE
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:LEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W. HAMPDEN AVENUE SUITE 705
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110
Mailing Address - Country:US
Mailing Address - Phone:303-789-3332
Mailing Address - Fax:
Practice Address - Street 1:333 W HAMPDEN AVE STE 705
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2337
Practice Address - Country:US
Practice Address - Phone:303-789-3332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor