Provider Demographics
NPI:1073852547
Name:MERS, RODNEY WAYNE (MA, LPC, BCN)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:WAYNE
Last Name:MERS
Suffix:
Gender:M
Credentials:MA, LPC, BCN
Other - Prefix:MR
Other - First Name:ROD
Other - Middle Name:
Other - Last Name:MERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, BCN
Mailing Address - Street 1:2305 E ARAPAHOE RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:303-795-1761
Mailing Address - Fax:303-730-1675
Practice Address - Street 1:2305 E ARAPAHOE RD.
Practice Address - Street 2:SUITE 214
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122
Practice Address - Country:US
Practice Address - Phone:303-795-1761
Practice Address - Fax:303-730-1675
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional