Provider Demographics
NPI:1396952883
Name:RICHARDS, VANESSA CECILIA (LPC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:CECILIA
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:CECEILIA
Other - Last Name:ORAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:12315 E BATES CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3311
Mailing Address - Country:US
Mailing Address - Phone:720-276-9188
Mailing Address - Fax:
Practice Address - Street 1:12315 E BATES CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3311
Practice Address - Country:US
Practice Address - Phone:720-276-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO92782582Medicaid