Provider Demographics
NPI:1952197824
Name:PELLETIER, KIERA (LPC)
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:
Last Name:PELLETIER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 S COLORADO BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8013
Mailing Address - Country:US
Mailing Address - Phone:720-765-5272
Mailing Address - Fax:574-514-8067
Practice Address - Street 1:695 S COLORADO BLVD STE 310
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8013
Practice Address - Country:US
Practice Address - Phone:720-765-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022079101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional