Provider Demographics
NPI:1073959847
Name:GRIFFIN, ALLISON G (MA, NCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:G
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13541 HIGH CIR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-4115
Mailing Address - Country:US
Mailing Address - Phone:303-507-4853
Mailing Address - Fax:
Practice Address - Street 1:13541 HIGH CIR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-4115
Practice Address - Country:US
Practice Address - Phone:303-507-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103372101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional