Provider Demographics
NPI:1356009286
Name:MOWRY, PATRICIA ANN (MS, BC-DMT, CMA, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:MOWRY
Suffix:
Gender:F
Credentials:MS, BC-DMT, CMA, LPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MOWRY
Other - Last Name:RUTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BC-DMT, CMA, LPC
Mailing Address - Street 1:10555 NEWLIN CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3515
Mailing Address - Country:US
Mailing Address - Phone:720-234-4061
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-3599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0000915101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional