Healthcare Provider Details

I. General information

NPI: 1982928669
Provider Name (Legal Business Name): EVA KATHARINE PRESTON LPC CACIII NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 957
SNYDER CO
80750-0957
US

IV. Provider business mailing address

PO BOX 957
SNYDER CO
80750-0957
US

V. Phone/Fax

Practice location:
  • Phone: 970-380-2606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4259
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2936
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: