Individual
KATELYN MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, LPC
Contact information
Practice address
443 S CO-105,, PALMER LAKE, CO 80133
(719) 602-0914
Mailing address
6204 TWIN OAKS DR, COLORADO SPRINGS, CO 80918-8362
(814) 221-0856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0015781
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
09/18/2015
Last updated
03/31/2020
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