Provider Demographics
NPI:1649070707
Name:THEISEN, CAITLIN HONOR (LPCC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:HONOR
Last Name:THEISEN
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12483 E TENNESSEE CIR APT F
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6014
Mailing Address - Country:US
Mailing Address - Phone:719-778-1918
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST STE 4400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2310
Practice Address - Country:US
Practice Address - Phone:719-257-3932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health