Individual
KATHRYN 'KC' MANTRAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFTC, LPCC
Contact information
Practice address
7710 N UNION BLVD STE F, COLORADO SPRINGS, CO 80920-4030
(719) 358-1174
Mailing address
6433 JULES DR, COLORADO SPRINGS, CO 80923-3865
(719) 358-1174
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014560
CO
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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