Provider Demographics
NPI:1740920719
Name:BRAUNREITER, KATHY ANN (LPC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:ANN
Last Name:BRAUNREITER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:ANN
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7865 VALLAGIO LN UNIT 206
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6051
Mailing Address - Country:US
Mailing Address - Phone:949-531-8050
Mailing Address - Fax:
Practice Address - Street 1:7865 VALLAGIO LN UNIT 206
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6051
Practice Address - Country:US
Practice Address - Phone:949-531-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional