GRACE ELISE KACKSTAETTER

NORTHGLENN, CO
NPI1003567041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  MFTC.0014626)
Enumeration Date2022-01-11
Last Update Date2024-09-25
Business Address
GRACE ELISE KACKSTAETTER MA, MFTC
10190 BANNOCK ST STE 120
NORTHGLENN, CO 80260-6052
Phone number: 970-460-8009
Mailing Address
GRACE ELISE KACKSTAETTER MA, MFTC
830 MT SNEFFELS AVE
SEVERANCE, CO 80550-4888
Phone number: 801-708-3673