Provider Demographics
NPI:1871058909
Name:WOJTECZKO, ADAM JOSEPH MILLER (LPC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSEPH MILLER
Last Name:WOJTECZKO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3697 S DEPEW ST UNIT 9
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2847
Mailing Address - Country:US
Mailing Address - Phone:303-335-7748
Mailing Address - Fax:
Practice Address - Street 1:3955 E EXPOSITION AVE STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5033
Practice Address - Country:US
Practice Address - Phone:720-306-1383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-03
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health