Provider Demographics
NPI:1841305141
Name:CALLE, LUIS (LPC)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:
Last Name:CALLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13693 E ILIFF AVE
Mailing Address - Street 2:OFFICE #220
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80014-6527
Mailing Address - Country:US
Mailing Address - Phone:720-351-0432
Mailing Address - Fax:720-208-0638
Practice Address - Street 1:13693 E ILIFF AVE
Practice Address - Street 2:OFFICE #220
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80014-6527
Practice Address - Country:US
Practice Address - Phone:720-351-0432
Practice Address - Fax:720-208-0638
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional