Provider Demographics
NPI:1467284844
Name:HAJEC, KALINA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:KALINA
Middle Name:MICHELLE
Last Name:HAJEC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13654 XAVIER LN STE 201
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-3608
Mailing Address - Country:US
Mailing Address - Phone:720-523-1067
Mailing Address - Fax:
Practice Address - Street 1:1333 W 120TH AVE STE 218
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2710
Practice Address - Country:US
Practice Address - Phone:720-523-1067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021114101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional