Provider Demographics
NPI:1821266594
Name:VERNON, KATHRYN ANN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:VERNON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12506 W PRENTICE PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6213
Mailing Address - Country:US
Mailing Address - Phone:720-336-9198
Mailing Address - Fax:
Practice Address - Street 1:3110 S WADSWORTH BLVD
Practice Address - Street 2:#308
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-4805
Practice Address - Country:US
Practice Address - Phone:720-336-9198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC.0006010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional