Provider Demographics
NPI:1962703983
Name:SCOVEL, SARA SOTO (MA-COUNSELING)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:SOTO
Last Name:SCOVEL
Suffix:
Gender:F
Credentials:MA-COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4371 E. 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022
Mailing Address - Country:US
Mailing Address - Phone:303-853-3692
Mailing Address - Fax:303-289-6962
Practice Address - Street 1:4371 E. 72ND AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022
Practice Address - Country:US
Practice Address - Phone:303-853-3692
Practice Address - Fax:303-289-6962
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor