Provider Demographics
NPI:1275129058
Name:DOHENY, TERESA J (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:J
Last Name:DOHENY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 W 116TH PL APT 201
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2525
Mailing Address - Country:US
Mailing Address - Phone:720-467-0712
Mailing Address - Fax:
Practice Address - Street 1:2933 W 116TH PL
Practice Address - Street 2:APT. 201
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2525
Practice Address - Country:US
Practice Address - Phone:720-467-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017372101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health