Individual
KATHLEEN MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, NCC, LPC
Contact information
Practice address
350 TERRY ST STE 320, LONGMONT, CO 80501-5490
(303) 746-0342
Mailing address
350 TERRY ST STE 320, LONGMONT, CO 80501-5490
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC.0019181
CO
101YP2500X
Professional Counselor
Primary
LPC.0019181
CO
225C00000X
Rehabilitation Counselor
489110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603296
NBCC CERTIFICATION
—
Enumeration date
01/26/2021
Last updated
11/18/2024
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