Provider Demographics
NPI:1811219512
Name:FARAGHER, ANN ELIZABETH (LPC, CAC II)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:ELIZABETH
Last Name:FARAGHER
Suffix:
Gender:F
Credentials:LPC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 S FEDERAL BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-6369
Mailing Address - Country:US
Mailing Address - Phone:720-273-0508
Mailing Address - Fax:
Practice Address - Street 1:5039 S FEDERAL BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-6369
Practice Address - Country:US
Practice Address - Phone:720-273-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4189101YA0400X
CO1296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)