Provider Demographics
NPI:1346654381
Name:RUMLEY BENNER, ALANA KAY (CAC III, DVOMB)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:KAY
Last Name:RUMLEY BENNER
Suffix:
Gender:F
Credentials:CAC III, DVOMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:251 BIRCH
Mailing Address - City:BENNETT
Mailing Address - State:CO
Mailing Address - Zip Code:80102-0097
Mailing Address - Country:US
Mailing Address - Phone:303-503-9161
Mailing Address - Fax:
Practice Address - Street 1:1591 CHAMBERS RD STE E
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5920
Practice Address - Country:US
Practice Address - Phone:303-340-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2432101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)