Provider Demographics
NPI:1831947233
Name:AXELROD, TONI (LPCC)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:AXELROD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1977 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-5142
Mailing Address - Country:US
Mailing Address - Phone:970-479-8225
Mailing Address - Fax:
Practice Address - Street 1:1000 LIONS RIDGE LOOP STE 3D
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-4454
Practice Address - Country:US
Practice Address - Phone:970-306-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health