Individual
KAITLYN VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13606 XAVIER LN STE E, BROOMFIELD, CO 80023-3604
(303) 720-9424
Mailing address
241 DAYTON AVE APT 1, SAINT PAUL, MN 55102-3398
(575) 323-0439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02941
MN
101YM0800X
Mental Health Counselor
Primary
LPC.0018719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC.0018719
DEPT. OF REGULATORY AGENCIES
CO
01
—
LPC.02941
MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
Enumeration date
10/18/2022
Last updated
03/18/2024
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