Provider Demographics
NPI:1336760248
Name:LOBB, ADRIAN MATTHEW (MFT0001783)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:MATTHEW
Last Name:LOBB
Suffix:
Gender:M
Credentials:MFT0001783
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT D201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5141
Mailing Address - Country:US
Mailing Address - Phone:303-949-2726
Mailing Address - Fax:
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT D201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5141
Practice Address - Country:US
Practice Address - Phone:303-949-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0001783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist