Provider Demographics
NPI:1295158756
Name:MCQUEEN, ALISON (MA)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MCQUEEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 CENTER GREEN CT
Mailing Address - Street 2:SUITE G211
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2359
Mailing Address - Country:US
Mailing Address - Phone:303-960-9935
Mailing Address - Fax:
Practice Address - Street 1:2945 CENTER GREEN CT
Practice Address - Street 2:SUITE G211
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2359
Practice Address - Country:US
Practice Address - Phone:303-960-9935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health