Provider Demographics
NPI:1881883072
Name:SERRAO, GINA MARIE (MSW)
Entity type:Individual
Prefix:MISS
First Name:GINA
Middle Name:MARIE
Last Name:SERRAO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 S WADSWORTH BLVD APT 8-301
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2415
Mailing Address - Country:US
Mailing Address - Phone:303-827-4395
Mailing Address - Fax:
Practice Address - Street 1:8384 ELATI ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-4480
Practice Address - Country:US
Practice Address - Phone:303-428-2572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health