Provider Demographics
NPI:1134253925
Name:MUGGLI, MARY JAYNE
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:JAYNE
Last Name:MUGGLI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JAYNIE
Other - Middle Name:
Other - Last Name:MUGGLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7925 W LAYTON AVE
Mailing Address - Street 2:UNIT 528
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1315
Mailing Address - Country:US
Mailing Address - Phone:303-948-9505
Mailing Address - Fax:
Practice Address - Street 1:6700 W 44TH AVE
Practice Address - Street 2:LOST & FOUND, INC.
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-420-8080
Practice Address - Fax:303-420-9299
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health