Provider Demographics
NPI:1144203555
Name:SKINNER, KATHE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHE
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 RAVEN HILLS CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1316
Mailing Address - Country:US
Mailing Address - Phone:719-598-6232
Mailing Address - Fax:719-528-8517
Practice Address - Street 1:1870 DUBLIN BLVD
Practice Address - Street 2:STE B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1294
Practice Address - Country:US
Practice Address - Phone:719-598-6232
Practice Address - Fax:719-528-8517
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist