Provider Demographics
NPI:1972318129
Name:PIERCE, MARIAN
Entity type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39091 PITKIN RD
Mailing Address - Street 2:
Mailing Address - City:PAONIA
Mailing Address - State:CO
Mailing Address - Zip Code:81428-8300
Mailing Address - Country:US
Mailing Address - Phone:970-275-1166
Mailing Address - Fax:
Practice Address - Street 1:211 GRAND AVE UNIT 114
Practice Address - Street 2:
Practice Address - City:PAONIA
Practice Address - State:CO
Practice Address - Zip Code:81428-5093
Practice Address - Country:US
Practice Address - Phone:970-275-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health