Healthcare Provider Details

I. General information

NPI: 1093013336
Provider Name (Legal Business Name): DENISE E. VINCIONI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2011
Last Update Date: 06/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2822 E COLFAX AVE
DENVER CO
80206-1507
US

IV. Provider business mailing address

2822 E COLFAX AVE
DENVER CO
80206-1507
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-2299
  • Fax: 303-953-8830
Mailing address:
  • Phone: 303-953-2299
  • Fax: 303-953-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACC.0004689
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0004625
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: