Provider Demographics
NPI:1750042891
Name:LACOMBE, KATELYN RACHEL (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:RACHEL
Last Name:LACOMBE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:RACHEL
Other - Last Name:HILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2032 BRISTLECONE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3416
Mailing Address - Country:US
Mailing Address - Phone:719-661-0921
Mailing Address - Fax:
Practice Address - Street 1:6805 CORPORATE DR STE 120
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1977
Practice Address - Country:US
Practice Address - Phone:719-726-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health