Provider Demographics
NPI:1972104636
Name:CANFIELD, ANASTASIA (LPCC)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:
Other - Last Name:EVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12341 E CORNELL AVE # 18
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3323
Mailing Address - Country:US
Mailing Address - Phone:972-979-4615
Mailing Address - Fax:
Practice Address - Street 1:12341 E CORNELL AVE # 18
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3323
Practice Address - Country:US
Practice Address - Phone:972-979-4615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017889101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional