Healthcare Provider Details

I. General information

NPI: 1003646415
Provider Name (Legal Business Name): SONYA NGUYEN MA, LPCC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 STEELE ST APT 6
DENVER CO
80206-1781
US

IV. Provider business mailing address

1600 STEELE ST APT 6
DENVER CO
80206-1781
US

V. Phone/Fax

Practice location:
  • Phone: 720-515-7337
  • Fax:
Mailing address:
  • Phone: 720-515-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0021394
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License NumberLPCC.0021394
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0021394
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: