Provider Demographics
NPI:1578201760
Name:CADLAON, MARK N (LPCC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:N
Last Name:CADLAON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6429 S VINEWOOD ST APT 202
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1824
Mailing Address - Country:US
Mailing Address - Phone:606-923-9594
Mailing Address - Fax:
Practice Address - Street 1:8301 E PRENTICE AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2906
Practice Address - Country:US
Practice Address - Phone:720-489-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health