Provider Demographics
NPI:1588066880
Name:VANOS, JAMES II
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:VANOS
Suffix:II
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 1:4500 E CHERRY CREEK SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1518
Mailing Address - Country:US
Mailing Address - Phone:303-322-7108
Mailing Address - Fax:303-322-9989
Practice Address - Street 1:4500 E CHERRY CREEK SOUTH DR STE 940
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1535
Practice Address - Country:US
Practice Address - Phone:303-322-7108
Practice Address - Fax:303-322-9989
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health