Provider Demographics
NPI:1518015239
Name:D'AMATO, ELAINE JCD (LPC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:JCD
Last Name:D'AMATO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3665 S DALLAS ST
Mailing Address - Street 2:APT B301
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-7216
Mailing Address - Country:US
Mailing Address - Phone:720-240-7433
Mailing Address - Fax:
Practice Address - Street 1:11285 HIGHLINE DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-3076
Practice Address - Country:US
Practice Address - Phone:303-853-3884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4141101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional