Shelley Tanen, LCSW
Social Worker, Clinical in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1760635262
StatusActive
Last updated in NPPESOct 28, 2008
Details
- NPI
- 1760635262
- Entity type
- Individual (NPI-1)
- Name
- Shelley Tanen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2008
- Last updated
- Oct 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 993056 | CO | Yes |
Practice location
823 N Prospect StColorado Springs, CO 80903-2825
Phone 719-634-6107
Mailing address
823 N Prospect StColorado Springs, CO 80903-2825
Phone 719-634-6107
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