Provider Demographics
NPI:1235666355
Name:EVERETT, ALISSA M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:M
Last Name:EVERETT
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 1:1155 N SHERMAN ST STE 313
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2295
Mailing Address - Country:US
Mailing Address - Phone:720-800-5764
Mailing Address - Fax:
Practice Address - Street 1:1155 N SHERMAN ST STE 313
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2295
Practice Address - Country:US
Practice Address - Phone:720-800-5764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)