Healthcare Provider Details

I. General information

NPI: 1639034309
Provider Name (Legal Business Name): KATHERINE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1754 N LAFAYETTE ST
DENVER CO
80218-1117
US

IV. Provider business mailing address

1754 N LAFAYETTE ST
DENVER CO
80218-1117
US

V. Phone/Fax

Practice location:
  • Phone: 303-989-5534
  • Fax:
Mailing address:
  • Phone: 303-989-5534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023539
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: