Provider Demographics
NPI:1750006045
Name:SCHIEFELBEIN, JESSICA FAYE I (SWC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:FAYE
Last Name:SCHIEFELBEIN
Suffix:I
Gender:F
Credentials:SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0102
Mailing Address - Country:US
Mailing Address - Phone:720-722-0122
Mailing Address - Fax:720-759-3523
Practice Address - Street 1:12424 BIG TIMBER DR UNIT 3
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-6410
Practice Address - Country:US
Practice Address - Phone:720-722-0122
Practice Address - Fax:720-759-3523
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.0000000134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional