Provider Demographics
NPI:1912166117
Name:CONIFF, VICKY A (LPC)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:A
Last Name:CONIFF
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:PO BOX 60307
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8775
Mailing Address - Country:US
Mailing Address - Phone:970-254-0894
Mailing Address - Fax:970-242-1494
Practice Address - Street 1:3090 N 12TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-2814
Practice Address - Country:US
Practice Address - Phone:970-254-0894
Practice Address - Fax:970-242-1494
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional