Provider Demographics
NPI:1326452442
Name:AMDURER, BARBARA S (LPCC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:AMDURER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:
Other - Last Name:AMDURER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2145 S PARFET DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-1944
Mailing Address - Country:US
Mailing Address - Phone:720-675-8424
Mailing Address - Fax:
Practice Address - Street 1:13701 W JEWELL AVE
Practice Address - Street 2:STE 200 #27
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4139
Practice Address - Country:US
Practice Address - Phone:720-675-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional