Individual
KATIE JOHANNA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0014369
CO
Other
Enumeration date
03/03/2016
Last updated
10/13/2022
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