Provider Demographics
NPI:1114357258
Name:WEHRMAN, KATHLEEN G (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:G
Last Name:WEHRMAN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:G
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED; PHD
Mailing Address - Street 1:5285 W LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5938
Mailing Address - Country:US
Mailing Address - Phone:303-747-6306
Mailing Address - Fax:303-569-9130
Practice Address - Street 1:5285 W LOUISIANA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5938
Practice Address - Country:US
Practice Address - Phone:303-636-6306
Practice Address - Fax:303-569-9130
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT0000868101Y00000X
COLPC0004845106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor