Provider Demographics
NPI:1114058724
Name:BURRIS, JANET KAY (BA, CAC II)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:KAY
Last Name:BURRIS
Suffix:
Gender:F
Credentials:BA, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 S COFFMAN ST
Mailing Address - Street 2:APT. 32
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6867
Mailing Address - Country:US
Mailing Address - Phone:303-485-1484
Mailing Address - Fax:303-853-4778
Practice Address - Street 1:7595 KRAMERIA ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1339
Practice Address - Country:US
Practice Address - Phone:303-287-7270
Practice Address - Fax:303-853-4778
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health