Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 5824 | CO |
NPI | 1003210907 |
---|---|
Provider Name | Denya Wormenor |
First Address | Littleton, CO 80127 |
Second Address | Littleton, CO 80127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2014 |
Last Update Date | 21/10/2014 |