Provider Demographics
NPI:1073661120
Name:HULLEY, KATHLEEN MASON (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MASON
Last Name:HULLEY
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:PO BOX 947
Mailing Address - Street 2:2837 TEN MILE CREEK RD
Mailing Address - City:GRANBY
Mailing Address - State:CO
Mailing Address - Zip Code:80446-0947
Mailing Address - Country:US
Mailing Address - Phone:303-909-2282
Mailing Address - Fax:
Practice Address - Street 1:218 EISENHOWER DR.
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:CO
Practice Address - Zip Code:80442-0000
Practice Address - Country:US
Practice Address - Phone:303-909-2282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional