Individual
MR. JERRY NEIL CYPERT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC, LAC
Contact information
Practice address
1720 S BELLAIRE ST, DENVER, CO 80222-4304
(806) 786-4460
(806) 786-4460
Mailing address
PO BOX 130, BROOMFIELD, CO 80038-0130
(806) 786-4460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11483
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000538
CO
101YP2500X
Professional Counselor
68694
TX
101YP2500X
Professional Counselor
Primary
LPC.0012269
CO
Other
Enumeration date
08/06/2012
Last updated
04/24/2016
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