Provider Demographics
NPI:1104968015
Name:BROWN, ANNA ROCIO (LPC, CAC III, EMDR)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ROCIO
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, CAC III, EMDR
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:R
Other - Last Name:BROWN (TELEHEALTH ONLY)
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, CAC III, EMDR
Mailing Address - Street 1:8125 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9111
Mailing Address - Country:US
Mailing Address - Phone:303-923-8302
Mailing Address - Fax:
Practice Address - Street 1:8125 MAPLE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9111
Practice Address - Country:US
Practice Address - Phone:303-923-8302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6719101YA0400X
CO5162101YP2500X
CO0005162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1962725291Medicaid