Basic Information
| Provider Information | |||||||||
| NPI: | 1760680516 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAYNES | ||||||||
| FirstName: | CAITILIN | ||||||||
| MiddleName: | DOWNING | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 17912 | ||||||||
| Address2: | |||||||||
| City: | BOULDER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 803080912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038326622 | ||||||||
| FaxNumber: | 3038630705 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 W 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802045103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037809191 | ||||||||
| FaxNumber: | 3037809192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | LPC3271 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.