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Organization
KELLY KREUZBERGER LLC
Active
Organization
KELLY KREUZBERGER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KREUZBERGER LPC, LAC (OWNER)
(720) 593-0887
Entity
Organization
Contact information
Practice address
16 MOUNTAIN VIEW RD, MANITOU SPRINGS, CO 80829-2742
(720) 593-0887
Mailing address
16 MOUNTAIN VIEW RD, MANITOU SPRINGS, CO 80829-2742
(719) 231-6427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000212606
—
CO
Enumeration date
12/13/2022
Last updated
03/12/2025
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