Basic Information
Provider Information
NPI: 1598177404
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERRO
FirstName: CECILIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 MEADE STREET
Address2:  
City: DENVER
State: CO
PostalCode: 802193356
CountryCode: US
TelephoneNumber: 3035047900
FaxNumber:  
Practice Location
Address1: 75 MEADE ST
Address2:  
City: DENVER
State: CO
PostalCode: 802191351
CountryCode: US
TelephoneNumber: 3035047900
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/27/2014
LastUpdateDate: 01/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XLPC.0012077COY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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