Provider Demographics
NPI:1073260543
Name:CATES, JENNIFER (PHD, LMFT, LPC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:CATES
Suffix:
Gender:F
Credentials:PHD, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 ITHACA DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5631
Mailing Address - Country:US
Mailing Address - Phone:509-607-1985
Mailing Address - Fax:
Practice Address - Street 1:615 ITHACA DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5631
Practice Address - Country:US
Practice Address - Phone:509-607-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO.0000937106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist