Provider Demographics
NPI:1679080840
Name:SAN, HELEN (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SAN
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:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-0742
Mailing Address - Country:US
Mailing Address - Phone:970-275-2179
Mailing Address - Fax:970-252-3208
Practice Address - Street 1:419 N 1ST ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3703
Practice Address - Country:US
Practice Address - Phone:970-275-2179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health