Individual
KATIE CARROCCIA
Active
Individual
KATIE CARROCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC, EMDR
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0012138
CO
103TC0700X
Clinical Psychologist
LPC.00012138
CO
172V00000X
Community Health Worker
30-0135461
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624855
—
CO
Enumeration date
09/04/2014
Last updated
05/19/2021
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