Provider Demographics
NPI:1710382783
Name:BAKARICH, WHITNEY SHEA (LPC)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:SHEA
Last Name:BAKARICH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:SHEA
Other - Last Name:PERRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 HORIZON DR STE 225
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:407 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-2141
Practice Address - Fax:970-879-7912
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional