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Individual
KIMBERLY ANNE DITZLER
Active
Individual
KIMBERLY ANNE DITZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC.0014784
CO
101Y00000X
Counselor
LPP.0001432
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0014854
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014854
STATE LICENSURE
CO
Enumeration date
08/01/2016
Last updated
07/17/2020
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