Provider Demographics
NPI:1942047444
Name:JONES, KATHARINE E (MA, LPCC, ATR-P)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LPCC, ATR-P
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:E
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPCC, ATR-P
Mailing Address - Street 1:4590 13TH ST APT 207
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2277
Mailing Address - Country:US
Mailing Address - Phone:208-967-0066
Mailing Address - Fax:
Practice Address - Street 1:4590 13TH ST APT 207
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2277
Practice Address - Country:US
Practice Address - Phone:208-967-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health