Provider Demographics
NPI:1174760441
Name:JAUNARAJS, VITAUTS (LPC CACIII)
Entity type:Individual
Prefix:
First Name:VITAUTS
Middle Name:
Last Name:JAUNARAJS
Suffix:
Gender:M
Credentials:LPC CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 NAVAJO ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2440
Mailing Address - Country:US
Mailing Address - Phone:303-602-6711
Mailing Address - Fax:
Practice Address - Street 1:4545 NAVAJO ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2440
Practice Address - Country:US
Practice Address - Phone:303-602-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0004616101YA0400X
COLPC.0001662101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)