Provider Demographics
NPI:1790801272
Name:FARNER, EMILY CATHLEEN (BA, CACII)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:CATHLEEN
Last Name:FARNER
Suffix:
Gender:F
Credentials:BA, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1885 S QUEBEC WAY
Mailing Address - Street 2:L-103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5628
Mailing Address - Country:US
Mailing Address - Phone:303-725-4328
Mailing Address - Fax:303-320-4830
Practice Address - Street 1:4353 E COLFAX AVE
Practice Address - Street 2:CLERMONT WELLNESS CENTER, MHCD
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1115
Practice Address - Country:US
Practice Address - Phone:303-504-1224
Practice Address - Fax:303-320-4830
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CO6576101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)