Jessica Wolfal | Colorado Springs, CO • PECOS Search

Jessica Wolfal

Counselor

Behavioral Health & Social Service Providers

1314 Shasta Dr, Colorado Springs, CO 80910-1920

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Wolfal does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1699448035
Provider Type
Individual
Full Name
Wolfal, Jessica
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/30/2021
Last Updated
7/30/2021

Contact Information

Practice Location

1314 Shasta Dr, Colorado Springs, CO 80910-1920

Unlisted Fax

Mailing Location

1314 Shasta Dr, Colorado Springs, CO 80910-1920

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License C.2003029 Ohio