Provider Demographics
NPI:1275233256
Name:KAYL, ALLISON BARBARA ROSE (LPCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:BARBARA ROSE
Last Name:KAYL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11565 DESTINATION DR APT 4309
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4783
Mailing Address - Country:US
Mailing Address - Phone:605-370-9457
Mailing Address - Fax:
Practice Address - Street 1:1325 S COLORADO BLVD STE B705
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3383
Practice Address - Country:US
Practice Address - Phone:888-528-3860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021879101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health