Provider Demographics
NPI:1538315536
Name:FEIST-MATSON, SUZANNE GAYE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:GAYE
Last Name:FEIST-MATSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30881 TAZA TRL
Mailing Address - Street 2:
Mailing Address - City:PINE
Mailing Address - State:CO
Mailing Address - Zip Code:80470-9410
Mailing Address - Country:US
Mailing Address - Phone:303-838-1313
Mailing Address - Fax:
Practice Address - Street 1:6949 HIGHWAY 73
Practice Address - Street 2:#11
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-6200
Practice Address - Country:US
Practice Address - Phone:303-838-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-4974101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional