Provider Demographics
NPI:1518779131
Name:EHIGIE-DADSON, JUNO ABENA
Entity type:Individual
Prefix:
First Name:JUNO
Middle Name:ABENA
Last Name:EHIGIE-DADSON
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 1:13046 E 106TH AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-8889
Mailing Address - Country:US
Mailing Address - Phone:170-822-8977
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD STE 1-0124
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2735
Practice Address - Country:US
Practice Address - Phone:720-263-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health