Provider Demographics
NPI:1467573998
Name:JENKINS, KATHLEEN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:7351 W GRANT RANCH BLVD
Mailing Address - Street 2:APT.912
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0613
Mailing Address - Country:US
Mailing Address - Phone:303-904-6067
Mailing Address - Fax:720-922-7975
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:STE. 310
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-917-4471
Practice Address - Fax:720-922-7975
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional