Organization
JENNIFER LUSK LLC
Active
Other names
Living Your Dance
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LUSK-PUERNER LPC (OWNER)
(303) 882-9065
Entity
Organization
Contact information
Practice address
1320 STONEHAVEN AVE, BROOMFIELD, CO 80020-2477
(303) 882-9065
Mailing address
1320 STONEHAVEN AVE, BROOMFIELD, CO 80020-2477
(303) 882-9065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
04/26/2024
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