Provider Demographics
NPI:1134433832
Name:HARLAN, RONG ZHOU (LCSW)
Entity type:Individual
Prefix:
First Name:RONG
Middle Name:ZHOU
Last Name:HARLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 WYNKOOP ST
Mailing Address - Street 2:APARTMENT 4C
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1116
Mailing Address - Country:US
Mailing Address - Phone:303-573-7592
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:PAVILION B 405
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:303-436-6797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9930801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical