Provider Demographics
NPI:1982851010
Name:MONLEZUN, ANNA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MONLEZUN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15001 E OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4186
Mailing Address - Country:US
Mailing Address - Phone:303-693-1550
Mailing Address - Fax:303-693-8309
Practice Address - Street 1:15001 E OXFORD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4186
Practice Address - Country:US
Practice Address - Phone:303-693-1550
Practice Address - Fax:303-693-8309
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5027101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5027OtherLPC LICENSE