Provider Demographics
NPI:1215611272
Name:RODRIGUEZ-LACHLANN, KERES JUDINA (LPCC)
Entity type:Individual
Prefix:MS
First Name:KERES
Middle Name:JUDINA
Last Name:RODRIGUEZ-LACHLANN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 S KENDALL ST UNIT 5-308
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2659
Mailing Address - Country:US
Mailing Address - Phone:212-363-0581
Mailing Address - Fax:
Practice Address - Street 1:2921 W 120TH AVE UNIT 220
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3262
Practice Address - Country:US
Practice Address - Phone:720-864-0189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020951101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional