Provider Demographics
NPI:1568514958
Name:BAUMANN, WENDY WALTON (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:WALTON
Last Name:BAUMANN
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:PO BOX 773664
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-3664
Mailing Address - Country:US
Mailing Address - Phone:970-879-7637
Mailing Address - Fax:970-871-6811
Practice Address - Street 1:810 LINCOLN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5005
Practice Address - Country:US
Practice Address - Phone:970-879-7637
Practice Address - Fax:970-871-6811
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO602101YA0400X
CO148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional