Provider Demographics
NPI:1255037347
Name:SLUZAS, JEWELIE (LPC)
Entity type:Individual
Prefix:
First Name:JEWELIE
Middle Name:
Last Name:SLUZAS
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 1:2036 HUNTINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1559
Mailing Address - Country:US
Mailing Address - Phone:862-596-7860
Mailing Address - Fax:
Practice Address - Street 1:2625 REDWING RD STE 110
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2878
Practice Address - Country:US
Practice Address - Phone:970-235-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008676101YP2500X
COLPC.0017841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional