Provider Demographics
NPI:1184921165
Name:GAZELL, SUNNY (MA)
Entity type:Individual
Prefix:
First Name:SUNNY
Middle Name:
Last Name:GAZELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 E DRY CREEK RD
Mailing Address - Street 2:APT 2205
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1553
Mailing Address - Country:US
Mailing Address - Phone:720-315-6596
Mailing Address - Fax:
Practice Address - Street 1:7860 E BERRY PL
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2321
Practice Address - Country:US
Practice Address - Phone:720-315-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9237101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor