Provider Demographics
NPI:1750694857
Name:PALAN, JOAN QUILLMAN (LCSW, LMFT, CAC III)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:QUILLMAN
Last Name:PALAN
Suffix:
Gender:F
Credentials:LCSW, LMFT, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 CASTLE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3258
Mailing Address - Country:US
Mailing Address - Phone:303-990-2696
Mailing Address - Fax:
Practice Address - Street 1:1275 CASTLE POINTE DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3258
Practice Address - Country:US
Practice Address - Phone:303-990-2696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0007113101YA0400X
COMFT.0000907106H00000X
COCSW.000013611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist