Provider Demographics
NPI:1982230397
Name:STILL, KATHRYN (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:STILL
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10671 W 106TH PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3605
Mailing Address - Country:US
Mailing Address - Phone:406-781-7949
Mailing Address - Fax:
Practice Address - Street 1:6343 W 120TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-3701
Practice Address - Country:US
Practice Address - Phone:720-439-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty