Provider Demographics
NPI:1649001629
Name:FLOURNOY, JANE MARIE (PHD, LMFT, LPC, LA)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:FLOURNOY
Suffix:
Gender:F
Credentials:PHD, LMFT, LPC, LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8362 COORS CT
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5837
Mailing Address - Country:US
Mailing Address - Phone:970-231-9398
Mailing Address - Fax:
Practice Address - Street 1:8362 COORS CT
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5837
Practice Address - Country:US
Practice Address - Phone:970-231-9398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT1050106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist