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NPI Code Detail

MEDICARE: ALYSSA D RESENDIZ LAC, LPCC

MEDICARE:   ALYSSA D RESENDIZ  LAC, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor0002499CO

General Provider Information

NPI Number : 1942180559
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA D RESENDIZ LAC, LPCC
Provider Business Mailing Address
First Line : 2535 S DOWNING ST STE 500
Second Line :
City : DENVER
State : CO
Zip : 80210-5823
Country : US
Telephone Number : 720-463-0503
Fax Number :
Provider Business Practice Location Address
First Line : 2535 S DOWNING ST STE 500
Second Line :
City : DENVER
State : CO
Zip : 80210-5823
Country : US
Telephone Number : 720-463-0503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 09/04/2025

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Directions to “ ALYSSA D RESENDIZ LAC, LPCC” Practice Location

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