Healthcare Provider Details

I. General information

NPI: 1821499195
Provider Name (Legal Business Name): KATHARINE BRAUN MFT INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 BROADWAY
DENVER CO
80202-6000
US

IV. Provider business mailing address

10319 16TH STREET RD
GREELEY CO
80634-4840
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax:
Mailing address:
  • Phone: 909-496-7769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0002474
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT99738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: