Provider Demographics
NPI:1336799485
Name:BRACKNEY, KARYN CECILIA RESCH (LPC)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:CECILIA RESCH
Last Name:BRACKNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:CECILIA
Other - Last Name:RESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5141
Mailing Address - Country:US
Mailing Address - Phone:720-335-5497
Mailing Address - Fax:
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT 201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5141
Practice Address - Country:US
Practice Address - Phone:720-335-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015483101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health