Provider Demographics
NPI:1295310209
Name:SIEGENTHALER, CAITLAN RENEE (LPC)
Entity type:Individual
Prefix:
First Name:CAITLAN
Middle Name:RENEE
Last Name:SIEGENTHALER
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 1:1712 PEREGRINE LN
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1281
Mailing Address - Country:US
Mailing Address - Phone:888-210-6424
Mailing Address - Fax:
Practice Address - Street 1:LAVATERSTRASSE 75
Practice Address - Street 2:
Practice Address - City:ZURICH
Practice Address - State:ZURICH
Practice Address - Zip Code:80020
Practice Address - Country:CH
Practice Address - Phone:888-210-6424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0015722OtherLICENSED PROFESSIONAL COUNSELOR