MEDICARE: KALINA MICHELLE HAJEC LPC

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
1	101YP2500X	Professional Counselor	LPC.0021114	CO

General Provider Information

NPI Number	:	1467284844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALINA MICHELLE HAJEC LPC

Provider Business Mailing Address
First Line	:	13654 XAVIER LN STE 201
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80023-3608
Country	:	US
Telephone Number	:	720-523-1067
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 W 120TH AVE STE 218
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2710
Country	:	US
Telephone Number	:	720-523-1067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	08/15/2024

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