Provider Demographics
NPI:1891193892
Name:MANNELLO, DENA MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DENA
Middle Name:MARIE
Last Name:MANNELLO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:DENA
Other - Middle Name:MARIE
Other - Last Name:BEALS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:DENA MANNELLO
Mailing Address - Street 2:PO BOX 235
Mailing Address - City:SEVERANCE
Mailing Address - State:CO
Mailing Address - Zip Code:80546
Mailing Address - Country:US
Mailing Address - Phone:541-380-1622
Mailing Address - Fax:253-697-3730
Practice Address - Street 1:DENA MANNELLO
Practice Address - Street 2:1438 MORAINE VALLEY DRIVE
Practice Address - City:SEVERANCE
Practice Address - State:CO
Practice Address - Zip Code:80550
Practice Address - Country:US
Practice Address - Phone:541-380-1622
Practice Address - Fax:253-697-3730
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health