Healthcare Provider Details

I. General information

NPI: 1952981607
Provider Name (Legal Business Name): JORGE DANIEL FLORES LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10782 E ALAMEDA AVE
AURORA CO
80012-1017
US

IV. Provider business mailing address

10760 E ILIFF AVE
AURORA CO
80014-4707
US

V. Phone/Fax

Practice location:
  • Phone: 303-923-2958
  • Fax:
Mailing address:
  • Phone: 303-386-3532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0017944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: