Provider Demographics
NPI:1699103648
Name:VARGAS, ELVIRA ANN (LPC)
Entity type:Individual
Prefix:
First Name:ELVIRA
Middle Name:ANN
Last Name:VARGAS
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 1:7578 E TECHNOLOGY WAY APT 208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3036
Mailing Address - Country:US
Mailing Address - Phone:951-347-4543
Mailing Address - Fax:
Practice Address - Street 1:200 S SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-8005
Practice Address - Country:US
Practice Address - Phone:720-410-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional