Provider Demographics
NPI:1417118902
Name:JARMAN, KATRINA (MA LPC CACIII)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:JARMAN
Suffix:
Gender:F
Credentials:MA LPC CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8507 SWEETCLOVER WAY
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9279
Mailing Address - Country:US
Mailing Address - Phone:720-297-7872
Mailing Address - Fax:303-617-8281
Practice Address - Street 1:10214 PROGRESS LN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9026
Practice Address - Country:US
Practice Address - Phone:720-297-7872
Practice Address - Fax:303-617-8281
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5459101YA0400X
CO3462101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional