Provider Demographics
NPI:1013796945
Name:NORR, KIRSTEN MEGAN (LPCC)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:MEGAN
Last Name:NORR
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 COUNTY LINE RD APT H306
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8585
Mailing Address - Country:US
Mailing Address - Phone:917-612-9242
Mailing Address - Fax:
Practice Address - Street 1:1605 COUNTY LINE RD APT H306
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8585
Practice Address - Country:US
Practice Address - Phone:917-612-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health