Provider Demographics
NPI:1043706260
Name:MAY, ANN (LPC, MS)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:LPC, MS
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, MS
Mailing Address - Street 1:3935 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-9200
Mailing Address - Country:US
Mailing Address - Phone:970-939-7416
Mailing Address - Fax:
Practice Address - Street 1:3935 28TH AVE
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-9200
Practice Address - Country:US
Practice Address - Phone:970-939-7416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional