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Individual

KATE IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
18425 PONY EXPRESS DR UNIT 113B, PARKER, CO 80134-9620
(720) 605-4200
Mailing address
5750 S WALDEN ST, CENTENNIAL, CO 80015-5911
(303) 519-7390
(303) 519-7390

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NLC-13881
CO
101YM0800X
Mental Health Counselor
NLC-13881
CO
101YP2500X
Professional Counselor
Primary
LPC.0011900
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02656027
CO
Enumeration date
03/10/2012
Last updated
04/12/2021
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