Provider Demographics
NPI:1003959743
Name:BURGER SCHMID, VERENA JOHANNA (LPC, CACII)
Entity Type:Individual
Prefix:MRS
First Name:VERENA
Middle Name:JOHANNA
Last Name:BURGER SCHMID
Suffix:
Gender:F
Credentials:LPC, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 COUNTY ROAD 103
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-9722
Mailing Address - Country:US
Mailing Address - Phone:719-248-8093
Mailing Address - Fax:888-242-6614
Practice Address - Street 1:831 ROYAL GORGE BLVD
Practice Address - Street 2:SUITE #228
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212
Practice Address - Country:US
Practice Address - Phone:719-248-8093
Practice Address - Fax:888-242-6614
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
COLPC2826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional