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Individual

DR. KRISTIN MODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD LAC

Contact information

Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-3500
Mailing address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-3500

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207365
SMS
CO
Enumeration date
05/03/2018
Last updated
12/31/2018
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