Provider Demographics
NPI:1396022075
Name:SBANOTTO, STEPHEN (MS, LPC, CSAT-S)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:SBANOTTO
Suffix:
Gender:M
Credentials:MS, LPC, CSAT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 N LINCOLN ST APT 7F
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2767
Mailing Address - Country:US
Mailing Address - Phone:720-319-7384
Mailing Address - Fax:
Practice Address - Street 1:925 N LINCOLN ST APT 7F
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2767
Practice Address - Country:US
Practice Address - Phone:720-319-7384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC 0104553101Y00000X
ARA1101005101Y00000X
COLPC.0013970101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor