Provider Demographics
NPI:1043078363
Name:OH, JOHN (LPCC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:OH
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12477 SYRACUSE ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-5281
Mailing Address - Country:US
Mailing Address - Phone:720-254-9292
Mailing Address - Fax:
Practice Address - Street 1:12021 PENNSYLVANIA ST STE 108
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3151
Practice Address - Country:US
Practice Address - Phone:720-257-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021464101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health