Provider Demographics
NPI:1376914952
Name:MARRS, KRISTIN JARVIS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:JARVIS
Last Name:MARRS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LOUIS PRIMA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5903
Mailing Address - Country:US
Mailing Address - Phone:985-327-5427
Mailing Address - Fax:985-327-8800
Practice Address - Street 1:250 MAX DR STE 102
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-9518
Practice Address - Country:US
Practice Address - Phone:303-649-3350
Practice Address - Fax:303-649-3378
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099252111041C0700X
LA113141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical