Provider Demographics
NPI:1134443096
Name:PADILLA JR., ORLANDO RICHARD (LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:RICHARD
Last Name:PADILLA JR.
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 E DICKENSON PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6012
Mailing Address - Country:US
Mailing Address - Phone:303-504-6500
Mailing Address - Fax:303-782-0916
Practice Address - Street 1:4141 EAST DICKENSON PLACE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3918
Practice Address - Country:US
Practice Address - Phone:303-504-6500
Practice Address - Fax:303-782-0916
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional