Provider Demographics
NPI:1609427483
Name:COOMBS, DAYNA R (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:R
Last Name:COOMBS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:DAYNA
Other - Middle Name:RUST
Other - Last Name:BUXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2941 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-5354
Mailing Address - Country:US
Mailing Address - Phone:801-917-4882
Mailing Address - Fax:
Practice Address - Street 1:1801 I 70 BUSINESS LOOP STE B5
Practice Address - Street 2:
Practice Address - City:GRAND JCT
Practice Address - State:CO
Practice Address - Zip Code:81501-8002
Practice Address - Country:US
Practice Address - Phone:970-245-3212
Practice Address - Fax:970-245-3216
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5756424-3902106H00000X
COMFT.0002250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist