Individual provider · Type 1 NPI

Grace Elise Kackstaetter, MA, MFTC

Mental Health Counselor · Northglenn, CO

NPI number 1003567041 Active

Practice location

10190 Bannock St Ste 120
Northglenn, CO 80260-6052

Mailing address

830 Mt Sneffels Ave
Severance, CO 80550-4888

Other practice locations

  • 830 Mt Sneffels Ave, Severance, CO 80550-4888 · (970) 460-8009
  • 3400 W 16th St Ste S, Greeley, CO 80634-6872 · (970) 460-8009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFTC.0014626 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1003567041

Grace Elise Kackstaetter, MA, MFTC's National Provider Identifier is 1003567041, issued on Jan 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northglenn, CO. The record was last updated on Sep 25, 2024.