Provider Demographics
NPI:1912561796
Name:ARAGON, JONPAUL (CCSC, PA, PD)
Entity Type:Individual
Prefix:
First Name:JONPAUL
Middle Name:
Last Name:ARAGON
Suffix:
Gender:M
Credentials:CCSC, PA, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 E ARAPAHOE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2048
Mailing Address - Country:US
Mailing Address - Phone:833-833-0051
Mailing Address - Fax:
Practice Address - Street 1:3939 E ARAPAHOE RD STE 207
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2048
Practice Address - Country:US
Practice Address - Phone:833-833-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO109509103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling