Provider Demographics
NPI:1134181704
Name:STEYN, JESSICA (LAC, DIPLAC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:STEYN
Suffix:
Gender:F
Credentials:LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2438
Mailing Address - Country:US
Mailing Address - Phone:303-688-1402
Mailing Address - Fax:303-814-9264
Practice Address - Street 1:340 3RD ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2438
Practice Address - Country:US
Practice Address - Phone:303-688-1402
Practice Address - Fax:303-814-9264
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU-562171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist