Provider Demographics
NPI:1679072912
Name:JOSEPH, JOSHUA GABRIEL (MS, LPC, LMHC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:GABRIEL
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MS, LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BOARDWALK DR UNIT 5A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3093
Mailing Address - Country:US
Mailing Address - Phone:970-281-5104
Mailing Address - Fax:
Practice Address - Street 1:300 BOARDWALK DR UNIT 5A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3093
Practice Address - Country:US
Practice Address - Phone:970-281-5104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17435101YM0800X
COLPC.0018907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health