Provider Demographics
NPI:1346951217
Name:HAUSE, ANNE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:HAUSE
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 1:10963 BIG STONE CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4058
Mailing Address - Country:US
Mailing Address - Phone:651-500-9170
Mailing Address - Fax:
Practice Address - Street 1:750 W HAMPDEN AVE STE 350
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2165
Practice Address - Country:US
Practice Address - Phone:719-540-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional