Provider Demographics
NPI:1659162790
Name:JAIME, RITA LYNN (LPCC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:LYNN
Last Name:JAIME
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 PINE ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-4034
Mailing Address - Country:US
Mailing Address - Phone:719-671-5905
Mailing Address - Fax:
Practice Address - Street 1:2721 PINE ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-4034
Practice Address - Country:US
Practice Address - Phone:719-671-5905
Practice Address - Fax:719-671-5905
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health