Provider Demographics
NPI:1114137205
Name:SABINI, SUSAN E (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:E
Last Name:SABINI
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6099 S QUEBEC ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4545
Mailing Address - Country:US
Mailing Address - Phone:303-981-5034
Mailing Address - Fax:
Practice Address - Street 1:6099 S QUEBEC ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4545
Practice Address - Country:US
Practice Address - Phone:303-981-5034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC 2466OtherSTATE LICENSE NUMBER