Provider Demographics
NPI:1821729864
Name:MCCAMON, KELSEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:MCCAMON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:DAPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5460 WARD RD STE 380
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1818
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5460 WARD RD STE 380
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1818
Practice Address - Country:US
Practice Address - Phone:720-372-4017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health