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Individual

KIMBERLY ANNE SUTHERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, CAC III

Contact information

Practice address
1960 S SHERMAN ST, DENVER, CO 80210-4014
(720) 324-0008
Mailing address
2105 E VIRGINIA AVE, DENVER, CO 80209-2721
(720) 324-0008

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1707-01
CO

Other

Enumeration date
09/16/2013
Last updated
09/16/2013
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