Provider Demographics
NPI:1003189952
Name:DAIGLE, KATHRYN BROYLES (MA, NCC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:BROYLES
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 CLARKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3203
Mailing Address - Country:US
Mailing Address - Phone:720-340-1443
Mailing Address - Fax:
Practice Address - Street 1:709 CLARKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3203
Practice Address - Country:US
Practice Address - Phone:720-340-1443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health