Healthcare Provider Details

I. General information

NPI: 1043060635
Provider Name (Legal Business Name): ALONDRA ERADNSA FAUDOA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 S JAMAICA CT STE 140
AURORA CO
80014-2647
US

IV. Provider business mailing address

12810 ROOSEVELT LN APT F2
ENGLEWOOD CO
80112-7048
US

V. Phone/Fax

Practice location:
  • Phone: 720-449-4121
  • Fax:
Mailing address:
  • Phone: 720-338-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180018114
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: