Provider Demographics
NPI:1104481407
Name:SINN, MARCIE ANN (LPC)
Entity type:Individual
Prefix:
First Name:MARCIE
Middle Name:ANN
Last Name:SINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 PECOS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2661
Mailing Address - Country:US
Mailing Address - Phone:402-578-9398
Mailing Address - Fax:
Practice Address - Street 1:7375 E PEAKVIEW AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6701
Practice Address - Country:US
Practice Address - Phone:303-325-5353
Practice Address - Fax:303-325-5911
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014906101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty