Individual
ALLI VANESSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
10350 E DAKOTA AVE STE 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
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001507
CO
101YM0800X
Mental Health Counselor
LPC.0015785
CO
Other
Enumeration date
09/23/2020
Last updated
01/06/2022
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