Provider Demographics
NPI:1891966818
Name:DENTON, RANDI MARIE
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:MARIE
Last Name:DENTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 FORTY NINER DR
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2078
Mailing Address - Country:US
Mailing Address - Phone:970-216-9305
Mailing Address - Fax:
Practice Address - Street 1:489 FORTY NINER DR
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2078
Practice Address - Country:US
Practice Address - Phone:970-216-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor