MEDICARE: KATHERINE ANNE MCLAIN ARELLANO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	106H00000X	Marriage & Family Therapist	363	CO
3	101YP2500X	Professional Counselor	1469	CO

General Provider Information

NPI Number	:	1154532117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANNE MCLAIN ARELLANO LPC

Provider Business Mailing Address
First Line	:	3311 W 17TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1608
Country	:	US
Telephone Number	:	720-218-3353
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 W 17TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1608
Country	:	US
Telephone Number	:	720-218-3353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	02/16/2022

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