Provider Demographics
NPI:1114650116
Name:KAHL, COURTNEY ERIN THRASHER (MSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ERIN THRASHER
Last Name:KAHL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 AUSTIN BLUFFS PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7800
Mailing Address - Country:US
Mailing Address - Phone:719-344-9438
Mailing Address - Fax:719-313-9665
Practice Address - Street 1:1837 AUSTIN BLUFFS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7800
Practice Address - Country:US
Practice Address - Phone:719-344-9438
Practice Address - Fax:719-313-9665
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000000562104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker