Provider Demographics
NPI:1801075940
Name:FABER, LORI KUNDROT (LCSW)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:KUNDROT
Last Name:FABER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19751 E MAINSTREET STE 395
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7380
Mailing Address - Country:US
Mailing Address - Phone:720-788-1547
Mailing Address - Fax:303-993-2989
Practice Address - Street 1:19751 E MAINSTREET STE 395
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7380
Practice Address - Country:US
Practice Address - Phone:720-788-1547
Practice Address - Fax:303-993-2989
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099251261041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13530OtherLCSW-C