Provider Demographics
NPI:1053198077
Name:MCNAMARA, SEAN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8060 E GIRARD AVE APT 1019
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4421
Mailing Address - Country:US
Mailing Address - Phone:303-746-4001
Mailing Address - Fax:
Practice Address - Street 1:410 9TH ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1066
Practice Address - Country:US
Practice Address - Phone:720-509-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health