Provider Demographics
NPI:1720853500
Name:DEBOWER, JORDYN W (LPC)
Entity Type:Individual
Prefix:
First Name:JORDYN
Middle Name:W
Last Name:DEBOWER
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 1:1567 E 166TH PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7953
Mailing Address - Country:US
Mailing Address - Phone:720-237-9888
Mailing Address - Fax:
Practice Address - Street 1:1567 E 166TH PL
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7953
Practice Address - Country:US
Practice Address - Phone:720-237-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional