Provider Demographics
NPI:1669403606
Name:FOX, JENNA MARIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:FOX
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:MARIE
Other - Last Name:CEDAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CGC
Mailing Address - Street 1:1960 OGDEN ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3666
Mailing Address - Country:US
Mailing Address - Phone:303-318-2616
Mailing Address - Fax:303-318-2619
Practice Address - Street 1:1960 OGDEN ST
Practice Address - Street 2:SUITE 330
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3666
Practice Address - Country:US
Practice Address - Phone:303-318-2616
Practice Address - Fax:303-318-2619
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS