Provider Demographics
NPI:1306981147
Name:DOUGLAS, LINZA G (LPC)
Entity type:Individual
Prefix:MS
First Name:LINZA
Middle Name:G
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:LPC
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Other - First Name:
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Mailing Address - Street 1:4851 INDEPENDENCE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6715
Mailing Address - Country:US
Mailing Address - Phone:303-425-0300
Mailing Address - Fax:303-567-3132
Practice Address - Street 1:2960 DORY HILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-8771
Practice Address - Country:US
Practice Address - Phone:303-582-6033
Practice Address - Fax:303-582-5798
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO3568101YA0400X
CO487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health