Individual
MRS. ELIZA KATE KINGSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC
Contact information
Practice address
64 PIMA CT, BOULDER, CO 80303-3970
(303) 503-0090
Mailing address
64 PIMA CT, BOULDER, CO 80303-3970
(303) 503-0090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5423
CO
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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