Individual
JENNIFER BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
12400 E JEWELL AVE UNIT A, AURORA, CO 80012-5300
(303) 360-6276
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-2153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001765
CO
101YM0800X
Mental Health Counselor
NLC.0107011
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09925693
CO
Other
Enumeration date
09/01/2016
Last updated
10/16/2023
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