Individual
KATHERINE EASTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
(303) 853-3687
(303) 428-7618
Mailing address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
(303) 853-3687
(303) 428-7618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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