Provider Demographics
NPI:1508209198
Name:SMITH, JOEL LORIN (LPC CACIII)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:LORIN
Last Name:SMITH
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 1:909 N LAFAYETTE ST
Mailing Address - Street 2:#403
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3169
Mailing Address - Country:US
Mailing Address - Phone:303-388-7548
Mailing Address - Fax:
Practice Address - Street 1:909 N LAFAYETTE ST
Practice Address - Street 2:#403
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3169
Practice Address - Country:US
Practice Address - Phone:303-388-7548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 3896101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional