Provider Demographics
NPI:1124674940
Name:NEWTON, KATIE RENEE (LPC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:RENEE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 CAMINO DEL MUNDO
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-8962
Mailing Address - Country:US
Mailing Address - Phone:970-232-5224
Mailing Address - Fax:970-341-2074
Practice Address - Street 1:2120 MILESTONE DR STE 103
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5761
Practice Address - Country:US
Practice Address - Phone:970-829-8780
Practice Address - Fax:970-341-2074
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor