Provider Demographics
NPI:1922889005
Name:TOLBERT, SETH (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:TOLBERT
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 PLATEAU PKWY
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-1533
Mailing Address - Country:US
Mailing Address - Phone:970-717-0161
Mailing Address - Fax:
Practice Address - Street 1:408 PLATEAU PKWY
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-1533
Practice Address - Country:US
Practice Address - Phone:970-717-0161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health