Provider Demographics
NPI:1043639305
Name:SCHRAMM, JESSE L (LPC, SOMB)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:L
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:LPC, SOMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8191 SOUTHPARK LN UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4641
Mailing Address - Country:US
Mailing Address - Phone:303-726-4560
Mailing Address - Fax:
Practice Address - Street 1:8191 SOUTHPARK LN UNIT 201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4641
Practice Address - Country:US
Practice Address - Phone:303-726-4560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-0012166101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty