Provider Demographics
NPI:1891457305
Name:PADILLA, VANESSA MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:PADILLA
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 1:3000 S JAMAICA CT STE 145
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2810
Mailing Address - Country:US
Mailing Address - Phone:720-467-2487
Mailing Address - Fax:720-902-4447
Practice Address - Street 1:3000 S JAMAICA CT STE 145
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2810
Practice Address - Country:US
Practice Address - Phone:720-467-2487
Practice Address - Fax:720-902-4447
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC.0022411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor