Individual
KATELYN RABAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PSYD STUDENT
Contact information
Practice address
7100 BROADWAY STE 6, DENVER, CO 80221-2915
(303) 596-0475
Mailing address
305 KNOBCONE DR UNIT 202, LOVELAND, CO 80538-5711
(612) 360-0057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/19/2017
Last updated
09/19/2020
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