Provider Demographics
NPI:1336371632
Name:OWENS, CATHLEEN A
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:A
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:A
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37398 COUNTY ROAD 16
Mailing Address - Street 2:
Mailing Address - City:ROGGEN
Mailing Address - State:CO
Mailing Address - Zip Code:80652-9425
Mailing Address - Country:US
Mailing Address - Phone:303-877-5416
Mailing Address - Fax:
Practice Address - Street 1:8931 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6806
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC-6722101YA0400X
101YM0800X
COLPC.0005832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health