Provider Demographics
NPI:1124267869
Name:MARSHALL, KARA ANNE (LPC, LAC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ANNE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ANNE
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6915 S NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:FOXFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1431
Mailing Address - Country:US
Mailing Address - Phone:720-273-0492
Mailing Address - Fax:720-710-2244
Practice Address - Street 1:9894 ROSEMONT AVE STE 202
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-4103
Practice Address - Country:US
Practice Address - Phone:720-738-6618
Practice Address - Fax:720-710-2244
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB-6716101YA0400X
COLPC-4978101YP2500X
COACD-201101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional