Doctor Name: | KATHLEEN S MORLOCK |
NPI Number: | 1093830457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | 1025 |
Business Practice Address: | 1335 Phay Ave Suite E Canon City, CO - 812122334 |
Business Phone Number: | 7192697608 |
Business Fax Number: | 7195899136 |
Mailing Address: | 402 Summer Dr, CANON CITY |
State: | CO |
Postal Code: | 812125228 |
Phone Number: | 7192697608 |
Fax Number: | 7195899136 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |