Provider Demographics
NPI:1811000151
Name:ISAKSON, AARON J (MS LMFT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:ISAKSON
Suffix:
Gender:M
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80901-0483
Mailing Address - Country:US
Mailing Address - Phone:719-229-6929
Mailing Address - Fax:719-266-8355
Practice Address - Street 1:6270 LEHMAN DR
Practice Address - Street 2:SUITE #200A
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1469
Practice Address - Country:US
Practice Address - Phone:719-229-6929
Practice Address - Fax:719-266-8355
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist