Individual
ASHLYN SUSANNE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0017776
CO
Other
Enumeration date
07/12/2021
Last updated
08/15/2024
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