Provider Demographics
NPI:1346610417
Name:TRAUTMANN, KELLEE M (LPC)
Entity Type:Individual
Prefix:
First Name:KELLEE
Middle Name:M
Last Name:TRAUTMANN
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 1:1624 GREEN PLACE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5828
Mailing Address - Country:US
Mailing Address - Phone:720-263-2673
Mailing Address - Fax:303-353-0818
Practice Address - Street 1:1624 GREEN PLACE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5828
Practice Address - Country:US
Practice Address - Phone:720-263-2673
Practice Address - Fax:303-353-0818
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LPC.0015811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health