Provider Demographics
NPI:1225773583
Name:POINTER, OLIVIA KATHLEEN (LPC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:KATHLEEN
Last Name:POINTER
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 1:6 PINON PL
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2912
Mailing Address - Country:US
Mailing Address - Phone:206-790-7581
Mailing Address - Fax:
Practice Address - Street 1:6 PINON PL
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2912
Practice Address - Country:US
Practice Address - Phone:206-790-7581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional