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NPI Code Detail

MEDICARE: MS. JANET KAY BURRIS BA, CAC II

MEDICARE: MS. JANET KAY BURRIS BA, CAC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1114058724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET KAY BURRIS BA, CAC II
Provider Business Mailing Address
First Line : 1364 S COFFMAN ST
Second Line : APT. 32
City : LONGMONT
State : CO
Zip : 80501-6867
Country : US
Telephone Number : 303-485-1484
Fax Number : 303-853-4778
Provider Business Practice Location Address
First Line : 7595 KRAMERIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1339
Country : US
Telephone Number : 303-287-7270
Fax Number : 303-853-4778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 09/11/2025

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