Provider Demographics
NPI:1437046059
Name:TATE, JO ANNA (MA)
Entity type:Individual
Prefix:MRS
First Name:JO
Middle Name:ANNA
Last Name:TATE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 35 6/10 RD
Mailing Address - Street 2:
Mailing Address - City:PALISADE
Mailing Address - State:CO
Mailing Address - Zip Code:81526-9764
Mailing Address - Country:US
Mailing Address - Phone:970-640-2976
Mailing Address - Fax:
Practice Address - Street 1:725 35 6/10 RD
Practice Address - Street 2:
Practice Address - City:PALISADE
Practice Address - State:CO
Practice Address - Zip Code:81526-9764
Practice Address - Country:US
Practice Address - Phone:970-640-2976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health