Individual provider · Type 1 NPI

Gerry Threatt, LMHC LH 61288295

Mental Health Counselor · Penrose, CO

NPI number 1285259002 Active

Practice location

15 Grant St
Penrose, CO 81240-9643

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH61288295 (WA)

Mental Health Counselor: Definition to come...

About NPI 1285259002

Gerry Threatt, LMHC LH 61288295's National Provider Identifier is 1285259002, issued on Jun 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Penrose, CO. The record was last updated on Jun 26, 2024.