Organization
VISTA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE BARICH LCSW, LAC (OWNER)
(303) 507-5825
Entity
Organization
Contact information
Practice address
2121 S BLACKHAWK ST, AURORA, CO 80014-1487
(303) 507-5825
(303) 379-1740
Mailing address
2121 S BLACKHAWK ST, AURORA, CO 80014-1487
(303) 507-5825
(303) 379-1740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000497
CO
1041C0700X
Clinical Social Worker
CSW.09924397
CO
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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