Provider Demographics
NPI:1598351025
Name:COMPTON, KAYLEN MYCHAL (LPC)
Entity type:Individual
Prefix:
First Name:KAYLEN
Middle Name:MYCHAL
Last Name:COMPTON
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 1:2001 ROSEN DR APT 3-307
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-2006
Mailing Address - Country:US
Mailing Address - Phone:303-898-3751
Mailing Address - Fax:
Practice Address - Street 1:4803 INNOVATION DR STE 3A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:855-356-1318
Practice Address - Fax:888-965-4615
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
COLPC.0020311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional