Provider Demographics
NPI:1326484445
Name:GESS, STEFANY JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:STEFANY
Middle Name:JEAN
Last Name:GESS
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 1:19751 E MAINSTREET
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7378
Mailing Address - Country:US
Mailing Address - Phone:303-841-4005
Mailing Address - Fax:720-451-4890
Practice Address - Street 1:19751 E MAINSTREET
Practice Address - Street 2:SUITE 215
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7378
Practice Address - Country:US
Practice Address - Phone:303-841-4005
Practice Address - Fax:720-451-4890
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6559101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional