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NPI Code Detail

MEDICARE: JOSEPH FOJUT MA, LPC, MAC

MEDICARE:   JOSEPH  FOJUT  MA, LPC, MAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor507924CO
2101YM0800XMental Health CounselorLPC.0004689CO

General Provider Information

NPI Number : 1114381498
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH FOJUT MA, LPC, MAC
Provider Business Mailing Address
First Line : 3225 S WADSWORTH BLVD UNIT T
Second Line : T
City : LAKEWOOD
State : CO
Zip : 80227-5009
Country : US
Telephone Number : 303-231-0090
Fax Number :
Provider Business Practice Location Address
First Line : 3225 S WADSWORTH BLVD UNIT T
Second Line : T
City : LAKEWOOD
State : CO
Zip : 80227-5009
Country : US
Telephone Number : 303-231-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/12/2016

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Directions to “ JOSEPH FOJUT MA, LPC, MAC” Practice Location

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