Provider Demographics
NPI:1386992964
Name:TILFORD, CATHERINE S (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:TILFORD
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 W 120TH AVE
Mailing Address - Street 2:STE. 218
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2708
Mailing Address - Country:US
Mailing Address - Phone:303-720-9424
Mailing Address - Fax:303-469-1589
Practice Address - Street 1:1333 W 120TH AVE
Practice Address - Street 2:STE. 218
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80234-2708
Practice Address - Country:US
Practice Address - Phone:303-720-9424
Practice Address - Fax:303-469-1589
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12930101YM0800X
CO11573101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health