Provider Demographics
NPI:1104107291
Name:AYLLON, NORKA (LPC)
Entity type:Individual
Prefix:
First Name:NORKA
Middle Name:
Last Name:AYLLON
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 1:3801 E FLORIDA AVE
Mailing Address - Street 2:SUITE#400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2571
Mailing Address - Country:US
Mailing Address - Phone:720-663-8447
Mailing Address - Fax:
Practice Address - Street 1:3801 E FLORIDA AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2543
Practice Address - Country:US
Practice Address - Phone:720-663-8447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012184101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12772163OtherCAQH