Provider Demographics
NPI:1245534775
Name:FEREN, AMY LYNN (MA LPC CAC II)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNN
Last Name:FEREN
Suffix:
Gender:F
Credentials:MA LPC CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9835 IRIS ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4267
Mailing Address - Country:US
Mailing Address - Phone:720-339-1566
Mailing Address - Fax:
Practice Address - Street 1:9835 IRIS ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4267
Practice Address - Country:US
Practice Address - Phone:720-339-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6945101YA0400X
CO5845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)