Individual
JEREMY HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3230 E WOODMEN RD STE 110, COLORADO SPRINGS, CO 80920-8502
(719) 623-2356
Mailing address
600 N PERSIMMON DR, OLATHE, KS 66061-5917
(913) 271-4760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC.0014742
CO
101YP1600X
Pastoral Counselor
2969
KS
101YP2500X
Professional Counselor
Primary
LPC.0014742
CO
Other
Enumeration date
05/11/2015
Last updated
05/12/2022
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