Individual
JESSICA R BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, LPCC
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
110 16TH ST STE 1460, DENVER, CO 80202-5202
(303) 873-3630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002701
CO
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/20/2021
Last updated
03/30/2025
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