Provider Demographics
NPI:1578390407
Name:COMBS, TERRILYN INESSA (MA, LPC)
Entity type:Individual
Prefix:
First Name:TERRILYN
Middle Name:INESSA
Last Name:COMBS
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 1:4400 S QUEBEC ST APT G203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2613
Mailing Address - Country:US
Mailing Address - Phone:720-327-5976
Mailing Address - Fax:
Practice Address - Street 1:4400 S QUEBEC ST APT G203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2613
Practice Address - Country:US
Practice Address - Phone:720-327-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health