Organization
LOGICAL BEHAVIORS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE BERGER-JACKSON PHD (OWNER/PRESIDENT)
(720) 312-8691
Entity
Organization
Contact information
Practice address
4498 E PHILLIPS PL, CENTENNIAL, CO 80122-3908
(720) 312-8691
(303) 694-1907
Mailing address
4498 E PHILLIPS PL, CENTENNIAL, CO 80122-3908
(720) 312-8691
(303) 694-1907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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