Provider Demographics
NPI:1861639270
Name:FARAGO, REKA K (MS, LPC, CST, CCT)
Entity type:Individual
Prefix:
First Name:REKA
Middle Name:K
Last Name:FARAGO
Suffix:
Gender:F
Credentials:MS, LPC, CST, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 S TAMARAC ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3229
Mailing Address - Country:US
Mailing Address - Phone:940-206-2329
Mailing Address - Fax:
Practice Address - Street 1:8140 S TAMARAC ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3229
Practice Address - Country:US
Practice Address - Phone:940-206-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC#61699101YP2500X
TX61699101YP2500X
COLPC#0011714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional