Provider Demographics
NPI:1023860376
Name:TOMBRIDGE, KATHRYN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:TOMBRIDGE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:TOMBRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:1673 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-2006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3801 E FLORIDA AVE STE 650
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2562
Practice Address - Country:US
Practice Address - Phone:720-445-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
COLPCC-0021707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)