Provider Demographics
NPI:1417399619
Name:SHEESLEY, ALISON PHILLIPS (PHD, LPC, RPT)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:PHILLIPS
Last Name:SHEESLEY
Suffix:
Gender:F
Credentials:PHD, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 E 12TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3448
Mailing Address - Country:US
Mailing Address - Phone:970-673-7655
Mailing Address - Fax:
Practice Address - Street 1:3570 E 12TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3448
Practice Address - Country:US
Practice Address - Phone:970-673-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0013473101YM0800X
CO0012707101YP2500X, 101YM0800X
CO101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0012707OtherLPC