Provider Demographics
NPI:1992211551
Name:SCARANO, SHAUNA LEIGH (LPC)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LEIGH
Last Name:SCARANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:LEIGH
Other - Last Name:SCARANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC0015799
Mailing Address - Street 1:875 W MORENO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1731
Mailing Address - Country:US
Mailing Address - Phone:973-224-8396
Mailing Address - Fax:
Practice Address - Street 1:875 W MORENO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1731
Practice Address - Country:US
Practice Address - Phone:973-224-8396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC.0015799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor