Provider Demographics
NPI:1841334224
Name:STARKS-MCINTOSH, VERNA L (MS, LPC)
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:L
Last Name:STARKS-MCINTOSH
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 E 12TH AVE
Mailing Address - Street 2:STE. 418
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2415
Mailing Address - Country:US
Mailing Address - Phone:303-504-7922
Mailing Address - Fax:303-504-7992
Practice Address - Street 1:4455 E 12TH AVE
Practice Address - Street 2:STE. 418
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-2415
Practice Address - Country:US
Practice Address - Phone:303-504-7922
Practice Address - Fax:303-504-7992
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021222101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional