Healthcare Provider Details

I. General information

NPI: 1447599634
Provider Name (Legal Business Name): MARIEA MONDAY-RICHARDSON MAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 W DAVIES AVE N
LITTLETON CO
80120-5252
US

IV. Provider business mailing address

12074 COCHISE CIR
CONIFER CO
80433-7134
US

V. Phone/Fax

Practice location:
  • Phone: 303-797-9420
  • Fax:
Mailing address:
  • Phone: 303-906-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: