Provider Demographics
NPI:1861656969
Name:COLFLESH, GERTRUDE PATTERSON (LPC)
Entity Type:Individual
Prefix:MS
First Name:GERTRUDE
Middle Name:PATTERSON
Last Name:COLFLESH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:PATTERSON
Other - Last Name:COLFLESH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4865 OLD FARM CIR W
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-1004
Mailing Address - Country:US
Mailing Address - Phone:719-380-9032
Mailing Address - Fax:
Practice Address - Street 1:4865 OLD FARM CIR W
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-1004
Practice Address - Country:US
Practice Address - Phone:719-380-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional