Provider Demographics
NPI:1326338211
Name:STAINBROOK, TAMARA KARANINA (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:KARANINA
Last Name:STAINBROOK
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 E PRENTICE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2722
Mailing Address - Country:US
Mailing Address - Phone:515-988-8469
Mailing Address - Fax:
Practice Address - Street 1:7950 E PRENTICE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2722
Practice Address - Country:US
Practice Address - Phone:515-988-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12999101Y00000X
CO12898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor