Provider Demographics
NPI:1598985376
Name:HERN, RHONDA CELESTE (LPC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:CELESTE
Last Name:HERN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:CELESTE
Other - Last Name:FORSYTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1067 E US HIGHWAY 24 # 171
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2120
Mailing Address - Country:US
Mailing Address - Phone:719-465-7442
Mailing Address - Fax:
Practice Address - Street 1:2641 SOUTHPARK RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816-8991
Practice Address - Country:US
Practice Address - Phone:719-465-7442
Practice Address - Fax:719-960-2279
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health