Provider Demographics
NPI:1619779824
Name:FOX, LIZA JANE ANNA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:LIZA JANE
Middle Name:ANNA
Last Name:FOX
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 S VAN GORDON CT APT F104
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3215
Mailing Address - Country:US
Mailing Address - Phone:303-775-0740
Mailing Address - Fax:
Practice Address - Street 1:5777 S RAPP ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1930
Practice Address - Country:US
Practice Address - Phone:303-513-7822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health