Healthcare Provider Details

I. General information

NPI: 1043938434
Provider Name (Legal Business Name): KATHERINE DALEY MA, LPCC, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 E ASBURY AVE
DENVER CO
80210-4371
US

IV. Provider business mailing address

54 JAMES VINCENT DR
CLINTON CT
06413-1259
US

V. Phone/Fax

Practice location:
  • Phone: 860-876-0637
  • Fax:
Mailing address:
  • Phone: 860-876-0637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.10853
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0021722
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: