Provider Demographics
NPI:1134302425
Name:TEMANJU, NAMUYABA VANESSA
Entity type:Individual
Prefix:MS
First Name:NAMUYABA
Middle Name:VANESSA
Last Name:TEMANJU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:NAMUYABA
Other - Last Name:TEMANJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 E DRAKE ROAD
Mailing Address - Street 2:#812
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:323-350-9345
Mailing Address - Fax:
Practice Address - Street 1:700 E DRAKE ROAD
Practice Address - Street 2:#812
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:323-350-9345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health