Provider Demographics
NPI:1467756049
Name:HITCHCOCK, LORI ANN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 S. NAPLES WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013
Mailing Address - Country:US
Mailing Address - Phone:720-581-0660
Mailing Address - Fax:
Practice Address - Street 1:6065 S QUEBEC ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4524
Practice Address - Country:US
Practice Address - Phone:720-581-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional