Provider Demographics
NPI:1902819212
Name:ESKELSON, JUDY M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:M
Last Name:ESKELSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:M
Other - Last Name:ESKELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RXN, NP
Mailing Address - Street 1:100 PIONEERS MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MEEKER
Mailing Address - State:CO
Mailing Address - Zip Code:81641-3181
Mailing Address - Country:US
Mailing Address - Phone:970-878-5047
Mailing Address - Fax:970-878-3285
Practice Address - Street 1:100 PIONEERS MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MEEKER
Practice Address - State:CO
Practice Address - Zip Code:81641-3181
Practice Address - Country:US
Practice Address - Phone:970-878-3226
Practice Address - Fax:970-878-3391
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO412106H00000X
CO44895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC807735Medicare PIN