MEDICARE: KATHARINE BRAUN MFT INTERN

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
1	106H00000X	Marriage & Family Therapist	MFT.0002474	CO
2	106H00000X	Marriage & Family Therapist	LMFT99738	CA

General Provider Information

NPI Number	:	1821499195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE BRAUN MFT INTERN

Provider Business Mailing Address
First Line	:	10319 16TH STREET RD
Second Line	:
City	:	GREELEY
State	:	CO
Zip	:	80634-4840
Country	:	US
Telephone Number	:	909-496-7769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 BROADWAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-6000
Country	:	US
Telephone Number	:	323-205-7088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	05/20/2026

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