Provider Demographics
NPI:1811436066
Name:MORO, KATHRYN BESS (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:BESS
Last Name:MORO
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 WILSON CT # 9
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4912
Mailing Address - Country:US
Mailing Address - Phone:901-409-2397
Mailing Address - Fax:
Practice Address - Street 1:3060 WILSON CT # 9
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4912
Practice Address - Country:US
Practice Address - Phone:901-409-2397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015209101YM0800X
CO15238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health