Provider Demographics
NPI:1285372581
Name:SHAKLEE, MAKAYLA J (LPC)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:J
Last Name:SHAKLEE
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 1:2818 DEERFOOT WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-4718
Mailing Address - Country:US
Mailing Address - Phone:303-519-4981
Mailing Address - Fax:
Practice Address - Street 1:304 INVERNESS WAY S STE 225
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5841
Practice Address - Country:US
Practice Address - Phone:720-619-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019050101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health