Provider Demographics
NPI:1003072513
Name:COMBS, STEPHENIE (BS)
Entity Type:Individual
Prefix:MRS
First Name:STEPHENIE
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:STEPHENIE
Other - Middle Name:
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6409 S VINEWOOD ST
Mailing Address - Street 2:#308
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1812
Mailing Address - Country:US
Mailing Address - Phone:720-371-8593
Mailing Address - Fax:
Practice Address - Street 1:61 W DAVIES AVE N
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5252
Practice Address - Country:US
Practice Address - Phone:303-797-9420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor