Organization
2ND STAR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J RALEY LPC (OWNER/PROVIDER)
(720) 938-3503
Entity
Organization
Contact information
Practice address
260 S. PUBLIC RD, LAFAYETTE, CO 80026
(720) 938-3503
Mailing address
211 LUCERNE DR, LAFAYETTE, CO 80026-1823
(720) 938-3503
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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