Doctor Name: | MRS. VERENA JOHANNA BURGER SCHMID |
NPI Number: | 1003959743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CACII |
License Number: | |
Business Practice Address: | 831 Royal Gorge Blvd Suite #228 Canon City, CO - 81212 |
Business Phone Number: | 7192488093 |
Business Fax Number: | 8882426614 |
Mailing Address: | 2913 County Road 103, FLORENCE |
State: | CO |
Postal Code: | 812269722 |
Phone Number: | 7192488093 |
Fax Number: | 8882426614 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |