Provider Demographics
NPI:1952953077
Name:COLGAN, KIRA GANGSEI (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KIRA
Middle Name:GANGSEI
Last Name:COLGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:KIRA
Other - Middle Name:LERNER
Other - Last Name:GANGSEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2696 S COLORADO BLVD STE 580
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5945
Mailing Address - Country:US
Mailing Address - Phone:303-639-5240
Mailing Address - Fax:303-639-5243
Practice Address - Street 1:660 JULIAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3148
Practice Address - Country:US
Practice Address - Phone:303-964-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52831106H00000X
COMFT0001227106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist