Provider Demographics
NPI:1902305568
Name:CAIN, WESLEY JOSEPH (LPCC)
Entity type:Individual
Prefix:MR
First Name:WESLEY
Middle Name:JOSEPH
Last Name:CAIN
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 1:1635 MUIRFIELD LN
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-5901
Mailing Address - Country:US
Mailing Address - Phone:615-406-4061
Mailing Address - Fax:
Practice Address - Street 1:1635 MUIRFIELD LN
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-5901
Practice Address - Country:US
Practice Address - Phone:615-406-4061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0023558101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor