Provider Demographics
NPI:1043311988
Name:BUCHENAUER, KATHLEEN CAROL (LPC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:CAROL
Last Name:BUCHENAUER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 S ONEIDA WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1540
Mailing Address - Country:US
Mailing Address - Phone:303-399-7406
Mailing Address - Fax:
Practice Address - Street 1:DENVER COUNSELING CENTER
Practice Address - Street 2:323 S PEARL STREET
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2019
Practice Address - Country:US
Practice Address - Phone:303-778-8105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional