Doctor Name: | KATHLEEN A CUNDALL |
NPI Number: | 1821209099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4149 |
Business Practice Address: | 709 3rd Ave Longmont, CO - 805015926 |
Business Phone Number: | 3037760855 |
Business Fax Number: | |
Mailing Address: | 1600 Hover St Ste C3, #175 LONGMONT |
State: | CO |
Postal Code: | 805012440 |
Phone Number: | 3037760855 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4149 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |