| NPI | 1073135901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BERGER-JACKSON Owner/President 720-312-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling | |
| 103TF0200X Psychologist Forensic | |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |