Provider Demographics
NPI:1750787917
Name:KRESS, JEN IRENE (PSYD)
Entity type:Individual
Prefix:
First Name:JEN
Middle Name:IRENE
Last Name:KRESS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 E ILIFF AVE
Mailing Address - Street 2:APT 225
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2546
Mailing Address - Country:US
Mailing Address - Phone:214-549-7917
Mailing Address - Fax:
Practice Address - Street 1:9085 E MINERAL CIR STE 235
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3400
Practice Address - Country:US
Practice Address - Phone:720-984-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY5272103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical