Provider Demographics
NPI:1891028312
Name:HERMANSON, KATE BYRNE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:BYRNE
Last Name:HERMANSON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 DIAMOND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2985
Mailing Address - Country:US
Mailing Address - Phone:757-478-5524
Mailing Address - Fax:
Practice Address - Street 1:244 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9173
Practice Address - Country:US
Practice Address - Phone:719-309-7009
Practice Address - Fax:757-257-0212
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004678101YP2500X
COLPC.0012777101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional