Provider Demographics
NPI:1699985374
Name:ROSS, SANDRA MORGAN (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MORGAN
Last Name:ROSS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:506
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2416
Mailing Address - Country:US
Mailing Address - Phone:303-703-4564
Mailing Address - Fax:720-488-6701
Practice Address - Street 1:5660 GREENWOOD PLAZA BLVD
Practice Address - Street 2:506
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2416
Practice Address - Country:US
Practice Address - Phone:303-703-4564
Practice Address - Fax:720-488-6701
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2842101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2842OtherCO LICENSED PROF. CNSLR.