Provider Demographics
NPI:1194970632
Name:OSTEN, KATHERINE M (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:OSTEN
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:P.O. BOX 21
Mailing Address - Street 2:
Mailing Address - City:GYPSUM
Mailing Address - State:CO
Mailing Address - Zip Code:81637
Mailing Address - Country:US
Mailing Address - Phone:970-390-4555
Mailing Address - Fax:
Practice Address - Street 1:41184 HWY 6
Practice Address - Street 2:#265
Practice Address - City:EAGLE - VAIL
Practice Address - State:CO
Practice Address - Zip Code:81658
Practice Address - Country:US
Practice Address - Phone:970-390-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor