Provider Demographics
NPI:1669856787
Name:MULVANY, PATRICIA MARLENE (LPC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARLENE
Last Name:MULVANY
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 S QUEBEC ST BLDG 1
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4628
Mailing Address - Country:US
Mailing Address - Phone:303-981-2730
Mailing Address - Fax:
Practice Address - Street 1:6404 S QUEBEC ST BLDG 1
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4628
Practice Address - Country:US
Practice Address - Phone:720-263-1088
Practice Address - Fax:303-963-5356
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-18
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0014073101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor