Provider Demographics
NPI:1295911402
Name:ALFORD, CONSTANCE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:
Last Name:ALFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 29TH AVENUE PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-6813
Mailing Address - Country:US
Mailing Address - Phone:970-352-8311
Mailing Address - Fax:970-356-9884
Practice Address - Street 1:1610 29TH AVENUE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6813
Practice Address - Country:US
Practice Address - Phone:970-352-8311
Practice Address - Fax:970-356-9884
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9894821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical