Provider Demographics
NPI:1235392069
Name:OWEN-SOHOCKI, DEBORAH (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:OWEN-SOHOCKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4871 RAVEN RUN
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4639
Mailing Address - Country:US
Mailing Address - Phone:303-952-9125
Mailing Address - Fax:303-952-9125
Practice Address - Street 1:4871 RAVEN RUN
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-4639
Practice Address - Country:US
Practice Address - Phone:303-952-9125
Practice Address - Fax:303-952-9125
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19709101YP2500X
CO6043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19709OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
CO6043OtherLICENSED PROFESSIONAL COUNSELOR DORA