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Individual
TIM KITCHENS
Active
Individual
TIM KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001912
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0018354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730736836
NPI
CO
Enumeration date
08/22/2019
Last updated
12/20/2024
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