John Brian Garner, LPC, LAC

Individual provider Active NPI Professional Counselor · Wellington, CO

NPI 1114709342 · NPPES record last updated Oct 23, 2023

Key facts

NPI
1114709342
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC.0013450 (CO)
Practice address
9039 Smoke Signal Way
Wellington, CO 80549-3038
Phone
(970) 632-2362
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ACD.0000806COMDAddiction (Substance Use Disorder) Counselor
LPC.0013450COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000806 CO
Professional Counselor 101YP2500X LPC.0013450 CO Yes

Addresses

Primary practice location

9039 Smoke Signal Way
Wellington, CO 80549-3038

Mailing address

9039 Smoke Signal Way
Wellington, CO 80549-3038
Phone (970) 632-2362

Other providers in Wellington, CO

All providers in Wellington, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.