Individual
KAITLYN GENEVIEVE HAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
1606 MOUNT MEEKER AVE, BERTHOUD, CO 80513-9319
(303) 775-2160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
12/09/2018
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