Provider Demographics
NPI:1295841468
Name:PALAKOW-KIMMEL, KATHY (LPC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:PALAKOW-KIMMEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61213
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-8213
Mailing Address - Country:US
Mailing Address - Phone:303-779-8657
Mailing Address - Fax:303-779-7935
Practice Address - Street 1:4201 E YALE AVE
Practice Address - Street 2:#150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6597
Practice Address - Country:US
Practice Address - Phone:303-779-8657
Practice Address - Fax:303-779-7935
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1934174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist