Provider Demographics
NPI:1811335102
Name:KAKLAUSKAS, FRANCIS J (PSYD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:KAKLAUSKAS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S KIMBARK ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-8909
Mailing Address - Country:US
Mailing Address - Phone:303-545-9393
Mailing Address - Fax:303-545-9394
Practice Address - Street 1:1201 S KIMBARK ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-8909
Practice Address - Country:US
Practice Address - Phone:303-545-9393
Practice Address - Fax:303-545-9394
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006504101YA0400X
CO2223101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)