Provider Demographics
NPI:1194905836
Name:HEIT, KATHLEEN J (LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:HEIT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5836
Mailing Address - Country:US
Mailing Address - Phone:303-277-9407
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON AVE
Practice Address - Street 2:UNIT D
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5836
Practice Address - Country:US
Practice Address - Phone:303-277-9407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional