Provider Demographics
NPI:1093370546
Name:SHAWCROFT, BRIANNA (LAC, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:SHAWCROFT
Suffix:
Gender:F
Credentials:LAC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 S ALTON WAY STE A
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2108
Mailing Address - Country:US
Mailing Address - Phone:303-694-3829
Mailing Address - Fax:303-694-3846
Practice Address - Street 1:7108 S ALTON WAY STE A
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2108
Practice Address - Country:US
Practice Address - Phone:303-694-3829
Practice Address - Fax:303-694-3846
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15559101YM0800X
CO1028101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health