Provider Demographics
NPI:1285923276
Name:COTTER, KRISTIE T (MA)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:T
Last Name:COTTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:310 53RD AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4222
Mailing Address - Country:US
Mailing Address - Phone:970-301-0646
Mailing Address - Fax:970-660-4415
Practice Address - Street 1:307 W MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2804
Practice Address - Country:US
Practice Address - Phone:970-301-0646
Practice Address - Fax:970-660-4415
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health