Individual
KIMBERLY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0012535
CO
101YM0800X
Mental Health Counselor
178.009199
IL
Other
Enumeration date
01/01/2015
Last updated
08/01/2017
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