Provider Demographics
NPI:1295283729
Name:LAFON, SARAH L
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:LAFON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8255 S POPLAR WAY APT 103
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4400
Mailing Address - Country:US
Mailing Address - Phone:724-433-4988
Mailing Address - Fax:
Practice Address - Street 1:8255 S POPLAR WAY APT 103
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4400
Practice Address - Country:US
Practice Address - Phone:724-433-4988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14612101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional