Doctor Name: | MS. JANET KAY BURRIS |
NPI Number: | 1114058724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA, CAC II |
License Number: | |
Business Practice Address: | 7595 Krameria St Commerce City, CO - 800221339 |
Business Phone Number: | 3032877270 |
Business Fax Number: | 3038534778 |
Mailing Address: | 1364 S Coffman St, Apt. 32 LONGMONT |
State: | CO |
Postal Code: | 805016867 |
Phone Number: | 3034851484 |
Fax Number: | 3038534778 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |