Individual
KIM ANN MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
6658 GUNPARK DR STE 201, BOULDER, CO 80301-3375
(303) 931-6052
Mailing address
13915 SHANNON DR, BROOMFIELD, CO 80023-4245
(720) 432-9955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000914
CO
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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