Provider Demographics
NPI:1073024915
Name:EBEL, PATRICIA STOUT (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:STOUT
Last Name:EBEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:EBEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3870 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3734
Mailing Address - Country:US
Mailing Address - Phone:602-616-7530
Mailing Address - Fax:
Practice Address - Street 1:3870 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3734
Practice Address - Country:US
Practice Address - Phone:602-616-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC.0015850101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health