Provider Demographics
NPI:1689720534
Name:STEVENS, MERLE J (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:MERLE
Middle Name:J
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2992 SHADY HOLW W
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2982
Mailing Address - Country:US
Mailing Address - Phone:303-449-2927
Mailing Address - Fax:303-449-5338
Practice Address - Street 1:6081 S QUEBEC ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4536
Practice Address - Country:US
Practice Address - Phone:303-721-7330
Practice Address - Fax:720-488-6566
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional