Provider Demographics
NPI:1417339094
Name:VERGO, DONALD A
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:VERGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 W JEFFERSON AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2351
Mailing Address - Country:US
Mailing Address - Phone:720-325-9597
Mailing Address - Fax:
Practice Address - Street 1:7175 W JEFFERSON AVE STE 1500
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2351
Practice Address - Country:US
Practice Address - Phone:720-325-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COMFTC0014260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor