Provider Demographics
NPI:1922553577
Name:WARD, PATRICIA (MSW, MAC INTERN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MSW, MAC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 S COLORADO BLVD
Mailing Address - Street 2:STE. C - 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3305
Mailing Address - Country:US
Mailing Address - Phone:303-756-9052
Mailing Address - Fax:303-756-0308
Practice Address - Street 1:8931 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6806
Practice Address - Country:US
Practice Address - Phone:303-756-9052
Practice Address - Fax:303-756-0308
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0015664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional