Provider Demographics
NPI:1265670921
Name:BERNLOHR, JAMES F (LAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:BERNLOHR
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4325
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-4325
Mailing Address - Country:US
Mailing Address - Phone:970-668-9912
Mailing Address - Fax:970-668-5503
Practice Address - Street 1:619 MAIN STREET.
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-4325
Practice Address - Country:US
Practice Address - Phone:970-668-9912
Practice Address - Fax:970-668-5503
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO144101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)