Provider Demographics
NPI:1083291991
Name:KATHERINE GILLETTE, COUNSELOR LLC
Entity Type:Organization
Organization Name:KATHERINE GILLETTE, COUNSELOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-481-7677
Mailing Address - Street 1:44689 COUNTY ROAD 27
Mailing Address - Street 2:
Mailing Address - City:PIERCE
Mailing Address - State:CO
Mailing Address - Zip Code:80650-9709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1401 S TAFT AVE STE 201
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6942
Practice Address - Country:US
Practice Address - Phone:970-481-7677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health