Most Relevant Information
Provider Data
| NPI Number: | 1003184730 |
| Provider Name: | LUCIA DIVIESTE-SEVERTSON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6324 |
Most Important Dates
| Enumeration Date: | 12/08/2011 |
| Last Updated: | 05/13/2014 |
Provider Practice Location
1740 MARION ST
DENVER
CO
802181121
Practice Location Phone/Fax
| Phone: | 7204127858 |
| Fax: |
Provider Mailing Location
1740 MARION ST
DENVER
CO
802181121
Provider Mailing Phone/Fax
| Phone: | 7204127858 |
| Fax: |