Provider Demographics
NPI:1699249755
Name:ARMSTRONG, REBECCA (CCHT, REGISTERED PSY)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CCHT, REGISTERED PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1801
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80038-1801
Mailing Address - Country:US
Mailing Address - Phone:720-900-4589
Mailing Address - Fax:
Practice Address - Street 1:1500 HWY-US 287
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-8002
Practice Address - Country:US
Practice Address - Phone:720-900-4589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0007036101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional