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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH61288295 (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.