Provider Demographics
NPI:1073806584
Name:RYNEARSON, ERINN MARIE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERINN
Middle Name:MARIE
Last Name:RYNEARSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5426 N ACADEMY BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3686
Mailing Address - Country:US
Mailing Address - Phone:719-920-0483
Mailing Address - Fax:
Practice Address - Street 1:5426 N ACADEMY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3686
Practice Address - Country:US
Practice Address - Phone:719-920-0483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional