Provider Demographics
NPI:1407682529
Name:RONAN, REED ALAN (MAC, LPC)
Entity type:Individual
Prefix:MR
First Name:REED
Middle Name:ALAN
Last Name:RONAN
Suffix:
Gender:M
Credentials:MAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 S POPLAR CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2220
Mailing Address - Country:US
Mailing Address - Phone:303-330-3739
Mailing Address - Fax:
Practice Address - Street 1:2222 E TENNESSEE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4637
Practice Address - Country:US
Practice Address - Phone:303-578-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020550101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor