Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO | |
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | 0011334 | CO |
NPI | 1124198478 |
---|---|
Provider Name | Dr. Leta J Herrington |
First Address | Englewood, CO 80113-2923 |
Second Address | Denver, CO 80231-2155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 25/06/2019 |