Provider Demographics
NPI:1407594591
Name:KAUFMANN, RON (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 ELKTON DR STE 101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3516
Mailing Address - Country:US
Mailing Address - Phone:719-599-7935
Mailing Address - Fax:719-960-2086
Practice Address - Street 1:720 ELKTON DR
Practice Address - Street 2:SUITE 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3516
Practice Address - Country:US
Practice Address - Phone:719-599-7935
Practice Address - Fax:719-960-2086
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional