Provider Demographics
NPI:1760460224
Name:NEVIN, ANN PARKER (LPC, CAC II)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:PARKER
Last Name:NEVIN
Suffix:
Gender:F
Credentials:LPC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 3RD AVE
Mailing Address - Street 2:#110
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5978
Mailing Address - Country:US
Mailing Address - Phone:303-682-5879
Mailing Address - Fax:303-485-6877
Practice Address - Street 1:525 3RD AVE
Practice Address - Street 2:#110
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5978
Practice Address - Country:US
Practice Address - Phone:303-682-5879
Practice Address - Fax:303-485-6877
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3170101YA0400X
CO1365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional