Provider Demographics
NPI:1205631231
Name:PACHECO, LAFONNA R
Entity type:Individual
Prefix:
First Name:LAFONNA
Middle Name:R
Last Name:PACHECO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 DEL RIO RD
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-6774
Mailing Address - Country:US
Mailing Address - Phone:719-778-4441
Mailing Address - Fax:
Practice Address - Street 1:8415 DEL RIO RD
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-6774
Practice Address - Country:US
Practice Address - Phone:719-778-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor