Katharine Anne Gannon, MA, LPC, LAC, ADS
Counselor, Mental Health in Centennial, CO. Individual provider (NPI-1).
NPI number1447568720
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1447568720
- Entity type
- Individual (NPI-1)
- Name
- Katharine Anne Gannon
- Credential
- MA, LPC, LAC, ADS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2010
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
6093 S Quebec St Ste 100Centennial, CO 80111-4543
Phone 720-900-4661
Mailing address
6093 S Quebec St Ste 100Centennial, CO 80111-4543
Phone 720-900-4661
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