Provider Demographics
NPI:1447393947
Name:HESS, JOHNNY JOHN (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHNNY
Middle Name:JOHN
Last Name:HESS
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 1:22959 E SMOKY HILL RD
Mailing Address - Street 2:M201
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6702
Mailing Address - Country:US
Mailing Address - Phone:303-693-2503
Mailing Address - Fax:
Practice Address - Street 1:3773 CHERRY CREEK NORTH DR
Practice Address - Street 2:SUITE 575
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-228-3159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 4557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional