Provider Demographics
NPI:1326363458
Name:FURNARI, LEONA (LCSW)
Entity Type:Individual
Prefix:
First Name:LEONA
Middle Name:
Last Name:FURNARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 PEARL ST
Mailing Address - Street 2:208
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5159
Mailing Address - Country:US
Mailing Address - Phone:303-444-0992
Mailing Address - Fax:303-444-9170
Practice Address - Street 1:1137 PEARL ST
Practice Address - Street 2:208
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5159
Practice Address - Country:US
Practice Address - Phone:303-444-0992
Practice Address - Fax:303-444-9170
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9919431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical