Provider Demographics
NPI:1609560804
Name:WILLIAMSEN, SIERRA R (LPC)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:R
Last Name:WILLIAMSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:500 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8319
Mailing Address - Country:US
Mailing Address - Phone:814-558-2706
Mailing Address - Fax:
Practice Address - Street 1:500 SIERRA DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8319
Practice Address - Country:US
Practice Address - Phone:814-558-2706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional