# VISTA COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669824512
- **Authorized official:** JEANETTE BARICH LCSW, LAC (OWNER)
- **Authorized official phone:** (303) 507-5825

## Contact information

- **Practice address:** 2121 S BLACKHAWK ST, AURORA, CO 80014-1487
- **Practice address phone:** (303) 507-5825
- **Practice address fax:** (303) 379-1740
- **Mailing address:** 2121 S BLACKHAWK ST, AURORA, CO 80014-1487
- **Mailing address phone:** (303) 507-5825
- **Mailing address fax:** (303) 379-1740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ACD.0000497 | CO | Yes |
| 1041C0700X | Clinical Social Worker | CSW.09924397 | CO | — |

## Other

- **Enumeration date:** 07/04/2016
- **Last updated:** 07/04/2016