Provider Demographics
NPI:1700034527
Name:KUCHARSKI, LORI CHRISTINE (PHD, LMFT-S, LPC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:CHRISTINE
Last Name:KUCHARSKI
Suffix:
Gender:F
Credentials:PHD, LMFT-S, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 SHASTA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-1920
Mailing Address - Country:US
Mailing Address - Phone:719-360-2440
Mailing Address - Fax:
Practice Address - Street 1:1326 SHASTA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-1920
Practice Address - Country:US
Practice Address - Phone:719-360-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO848106H00000X
CO5205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional