Provider Demographics
NPI:1851691166
Name:SAVAGE, JEREMY (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:JEREMY
Middle Name:
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 BRYANT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4250
Mailing Address - Country:US
Mailing Address - Phone:303-834-7005
Mailing Address - Fax:
Practice Address - Street 1:2727 BRYANT ST STE 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4250
Practice Address - Country:US
Practice Address - Phone:303-834-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.11847101YM0800X
CO11847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health