Provider Demographics
NPI:1417388430
Name:LATIMER, CATHERINE JADE (LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JADE
Last Name:LATIMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:JADE
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3201 W SCOTT PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1347
Mailing Address - Country:US
Mailing Address - Phone:918-557-7794
Mailing Address - Fax:
Practice Address - Street 1:3201 W SCOTT PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1347
Practice Address - Country:US
Practice Address - Phone:918-557-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014547101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0014547OtherLPC