Provider Demographics
NPI:1700907904
Name:ZANCA, ANNEMARIE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:ZANCA
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 1:14142 DENVER WEST PKWY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3189
Mailing Address - Country:US
Mailing Address - Phone:303-237-6865
Mailing Address - Fax:303-237-6873
Practice Address - Street 1:66 CLUB RD STE 350
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2599
Practice Address - Country:US
Practice Address - Phone:541-343-1728
Practice Address - Fax:855-282-3544
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 2443101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA91256267Medicaid