Provider Demographics
NPI:1962006528
Name:FOX, JEANETTE LOPRIORE (LPC)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:LOPRIORE
Last Name:FOX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8155 S VANDRIVER WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7443
Mailing Address - Country:US
Mailing Address - Phone:248-787-2790
Mailing Address - Fax:
Practice Address - Street 1:8155 S VANDRIVER WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7443
Practice Address - Country:US
Practice Address - Phone:248-787-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012009101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0012009OtherLICENSED PROFESSIONAL COUNSELOR