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NPI Code Detail

MEDICARE: KATELYN CHILDS MA, LPC

MEDICARE:   KATELYN  CHILDS  MA, 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
1101Y00000XCounselor95240TX
2101YM0800XMental Health CounselorLPC.0019769CO

General Provider Information

NPI Number : 1023772266
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN CHILDS MA, LPC
Provider Business Mailing Address
First Line : 8811 E HAMPDEN AVE STE 100
Second Line :
City : DENVER
State : CO
Zip : 80231-4931
Country : US
Telephone Number : 720-949-7250
Fax Number :
Provider Business Practice Location Address
First Line : 8811 E HAMPDEN AVE STE 100
Second Line :
City : DENVER
State : CO
Zip : 80231-4931
Country : US
Telephone Number : 720-949-7250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2021
Last Update Date : 09/03/2024

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Directions to “ KATELYN CHILDS MA, LPC” Practice Location

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