Individual
JOHN BIRKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10 BOULDER CRESCENT, SUITE 101F, COLORADO SPRINGS, CO 80903-3344
(719) 660-3025
Mailing address
10 BOULDER CRESCENT, SUITE 101F, COLORADO SPRINGS, CO 80903-3344
(719) 660-3025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22877771
—
CO
Enumeration date
10/17/2006
Last updated
07/09/2007
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