Provider Demographics
NPI:1114381498
Name:FOJUT, JOSEPH (MA, LPC, MAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:FOJUT
Suffix:
Gender:M
Credentials:MA, LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 S WADSWORTH BLVD UNIT T
Mailing Address - Street 2:T
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5009
Mailing Address - Country:US
Mailing Address - Phone:303-231-0090
Mailing Address - Fax:
Practice Address - Street 1:3225 S WADSWORTH BLVD UNIT T
Practice Address - Street 2:T
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5009
Practice Address - Country:US
Practice Address - Phone:303-231-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO507924101YA0400X
COLPC.0004689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)