Individual
MRS. AMY RAY TRIFONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
10350 E DAKOTA AVE, SUITE B, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992343
CO
106H00000X
Marriage & Family Therapist
590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01825046
—
CO
01
—
022314
KAISER COMMERCIAL NUMBER
CO
Enumeration date
05/22/2007
Last updated
06/10/2021
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