Provider Demographics
NPI:1023726049
Name:NARANJO, JANICE JANAE (LPC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:JANAE
Last Name:NARANJO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 COUNTY ROAD 27
Mailing Address - Street 2:
Mailing Address - City:MONTE VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81144-9311
Mailing Address - Country:US
Mailing Address - Phone:719-480-4212
Mailing Address - Fax:
Practice Address - Street 1:537 COUNTY ROAD 27
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-9311
Practice Address - Country:US
Practice Address - Phone:719-480-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional