Provider Demographics
NPI:1770536922
Name:SMITH, CATHERINE K (MA, LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:K
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 HORIZON CT STE 220
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-3939
Mailing Address - Country:US
Mailing Address - Phone:970-314-1912
Mailing Address - Fax:
Practice Address - Street 1:744 HORIZON CT
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-3921
Practice Address - Country:US
Practice Address - Phone:970-245-3270
Practice Address - Fax:970-245-6660
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3669101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional