Provider Demographics
NPI:1396345310
Name:LUKASIEWICZ, CHADWICK (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHADWICK
Middle Name:
Last Name:LUKASIEWICZ
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CHAD
Other - Middle Name:
Other - Last Name:LUKASIEWICZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:8835 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-7056
Mailing Address - Country:US
Mailing Address - Phone:720-643-4300
Mailing Address - Fax:
Practice Address - Street 1:8835 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-7056
Practice Address - Country:US
Practice Address - Phone:720-643-4300
Practice Address - Fax:720-643-4301
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016809101YM0800X
COLPC.0017430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health