Provider Demographics
NPI:1073874350
Name:DENTON, VANESSA ANGELA (MA)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:ANGELA
Last Name:DENTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 S PARKER RD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2735
Mailing Address - Country:US
Mailing Address - Phone:720-505-3643
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD
Practice Address - Street 2:SUITE 145
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2735
Practice Address - Country:US
Practice Address - Phone:720-505-3643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist