Individual
JACK C BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 S PLATTE RIVER DR, STAFFING, DENVER, CO 80223-3467
(303) 603-3020
Mailing address
801 PENNSYLVANIA ST, #304, DENVER, CO 80203-3152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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