| Jenifer Burbank, P.c. | |
|
765 Washington St Canon City CO 81212-8542 | |
| (719) 671-1036 | |
| Not Available |
| Full Name | Jenifer Burbank, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 765 Washington St, Canon City, Colorado |
| Authorized Official Name and Position | Jenifer Burbank (OWNER) |
| Authorized Official Contact | 7196711036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Burbank, P.c. 765 Washington St Canon City CO 81212-8542 Ph: () - | Jenifer Burbank, P.c. 765 Washington St Canon City CO 81212-8542 Ph: (719) 671-1036 |
| NPI Number | 1669275608 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669275608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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