Healthcare Provider Details

I. General information

NPI: 1598177404
Provider Name (Legal Business Name): CECILIA FERRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MEADE ST
DENVER CO
80219-1351
US

IV. Provider business mailing address

75 MEADE STREET
DENVER CO
80219-3356
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-7900
  • Fax:
Mailing address:
  • Phone: 303-504-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012077
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: