Individual
MR. JAY AUSTIN BRANDENBURG-NAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPC
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC0012285
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026251
KAISER COMMERCIAL NUMBER
CO
05
—
04921348
—
CO
Enumeration date
03/31/2010
Last updated
07/21/2015
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