Provider Demographics
NPI:1376673129
Name:MCGRATH, DEANNA J (LPC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:J
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6076 S PIERSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2429
Mailing Address - Country:US
Mailing Address - Phone:303-506-6619
Mailing Address - Fax:
Practice Address - Street 1:1420 W CANAL CT STE 210
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5555
Practice Address - Country:US
Practice Address - Phone:303-506-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015474101Y00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
016918OtherKAISER-COMMERCIAL NUMBER