Provider Demographics
NPI:1205570967
Name:BRICENO, SABRINA GABRIELLE (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:GABRIELLE
Last Name:BRICENO
Suffix:
Gender:F
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 1:1755 W 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2230
Mailing Address - Country:US
Mailing Address - Phone:262-391-3003
Mailing Address - Fax:
Practice Address - Street 1:1755 W 40TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2230
Practice Address - Country:US
Practice Address - Phone:262-391-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO322143101YS0200X
COLPCC.0018107101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool