Provider Demographics
NPI:1679911564
Name:WONCH, ALAINE HOLIDAY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALAINE
Middle Name:HOLIDAY
Last Name:WONCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6932 E APPLETON CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1155
Mailing Address - Country:US
Mailing Address - Phone:301-706-3424
Mailing Address - Fax:
Practice Address - Street 1:6932 E APPLETON CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1155
Practice Address - Country:US
Practice Address - Phone:301-706-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health