Provider Demographics
NPI:1346782406
Name:HONERKAMP, EVAN (MA, LPC, ATR)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:
Last Name:HONERKAMP
Suffix:
Gender:M
Credentials:MA, LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 CLERMONT ST APT 441
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3842
Mailing Address - Country:US
Mailing Address - Phone:720-933-2212
Mailing Address - Fax:
Practice Address - Street 1:910 SANTA FE DR UNIT 12B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3976
Practice Address - Country:US
Practice Address - Phone:720-933-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty