Provider Demographics
NPI:1447638390
Name:AYER, LEA (MA, LPC)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:AYER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 PLACER ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-4857
Mailing Address - Country:US
Mailing Address - Phone:970-208-5143
Mailing Address - Fax:
Practice Address - Street 1:1141 N 25TH ST STE G
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6560
Practice Address - Country:US
Practice Address - Phone:970-208-5143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor