Individual provider · Type 1 NPI

Jessica R. Berry, MS, LAC, LPCC

Addiction (Substance Use Disorder) Counselor · Denver, CO

NPI number 1104499987 Active

Practice location

4455 E 12th Ave
Denver, CO 80220-2415

Mailing address

110 16th St Ste 1460
Denver, CO 80202-5202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002701 (CO)

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About NPI 1104499987

Jessica R. Berry, MS, LAC, LPCC's National Provider Identifier is 1104499987, issued on Jul 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on Mar 30, 2025.