Provider Demographics
NPI:1174485601
Name:DACANAY, GENNA N (LPC)
Entity type:Individual
Prefix:MRS
First Name:GENNA
Middle Name:N
Last Name:DACANAY
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 1:3560 SMOKESTONE PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4229
Mailing Address - Country:US
Mailing Address - Phone:719-377-4693
Mailing Address - Fax:
Practice Address - Street 1:2500 N CIRCLE DR STE 400
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1184
Practice Address - Country:US
Practice Address - Phone:719-377-4693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019860101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health