Provider Demographics
NPI:1265231971
Name:DHONAU, CONSTANTINE (PCC)
Entity type:Individual
Prefix:
First Name:CONSTANTINE
Middle Name:
Last Name:DHONAU
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MESA CT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3404
Mailing Address - Country:US
Mailing Address - Phone:970-880-1640
Mailing Address - Fax:
Practice Address - Street 1:870 MESA CT
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-3404
Practice Address - Country:US
Practice Address - Phone:970-880-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No174400000XOther Service ProvidersSpecialist
No175T00000XOther Service ProvidersPeer Specialist
No174H00000XOther Service ProvidersHealth Educator