| Kathleen Ann Lau, | |
|
281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | |
| (970) 259-2162 | |
| (970) 247-1337 |
| Full Name | Kathleen Ann Lau |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 281 Sawyer Dr, Durango, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740584895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-5207 (Colorado) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Ann Lau, 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 Ph: (970) 259-2162 | Kathleen Ann Lau, 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 Ph: (970) 259-2162 |
Laura L Mcgourty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Suite 100, Durango, CO 81303 Phone: 970-385-3491 | |
Randle Katherine Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2855 Main Ave Ste A105, Durango, CO 81301 Phone: 903-517-4595 | |
Julyet Lace Kudo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2243 Main Ave, Suite 20, Durango, CO 81301 Phone: 970-259-0759 | |
Ilse Willenbuecher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Durango, CO 81303 Phone: 970-259-2162 | |
Molly Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-403-0180 Fax: 970-403-0190 | |
Joseph Frank Prekup, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-317-9297 | |
Eve Nicole Williams, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 281 Sawyer Dr Ste 100, Durango, CO 81303 Phone: 970-335-2231 |