Provider Demographics
NPI:1154454262
Name:KIRSHBAUM, JOSIE JEANETTE (LPC)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:JEANETTE
Last Name:KIRSHBAUM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8547 E ARAPAHOE RD UNIT J
Mailing Address - Street 2:PMB 190
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1430
Mailing Address - Country:US
Mailing Address - Phone:720-322-4200
Mailing Address - Fax:303-223-3416
Practice Address - Street 1:6901 S PIERCE ST
Practice Address - Street 2:SUITE 386
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4552
Practice Address - Country:US
Practice Address - Phone:720-322-4200
Practice Address - Fax:303-223-3416
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4499101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional