Provider Demographics
NPI:1871953570
Name:GARNER, JENNIFER LEE (LAC, RD, LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:GARNER
Suffix:
Gender:F
Credentials:LAC, RD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 WEST 40TH AVENUE
Mailing Address - Street 2:BEHAVIORAL HEALTH ER DEPARTMENT
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-265-2043
Mailing Address - Fax:303-467-4029
Practice Address - Street 1:12911 WEST 40TH AVENUE
Practice Address - Street 2:BEHAVIORAL HEALTH ER DEPARTMENT
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-265-2043
Practice Address - Fax:303-467-4029
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002023101YA0400X
COLPC-0023022101YP2500X
COACD.0002023101YA0400X
CO86343340133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional