Provider Demographics
NPI:1932647757
Name:WONDER YEARS
Entity Type:Organization
Organization Name:WONDER YEARS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:KNIFFIN-TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC
Authorized Official - Phone:303-550-0689
Mailing Address - Street 1:26 W DRY CREEK CIR STE 600
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8066
Mailing Address - Country:US
Mailing Address - Phone:303-550-0689
Mailing Address - Fax:
Practice Address - Street 1:26 W DRY CREEK CIR STE 600
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8066
Practice Address - Country:US
Practice Address - Phone:303-550-0689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC00011230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty