Provider Demographics
NPI:1578619631
Name:MAIOLO, CARA MICHELLE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MICHELLE
Last Name:MAIOLO
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 1:312 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2004
Mailing Address - Country:US
Mailing Address - Phone:720-369-6655
Mailing Address - Fax:970-493-9113
Practice Address - Street 1:312 CHERRY ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2004
Practice Address - Country:US
Practice Address - Phone:720-369-6655
Practice Address - Fax:970-493-9113
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health