Individual
KIMBERLY KATHLEEN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
1440 BLAKE ST, SUITE 200, DENVER, CO 80202-1474
(720) 839-8901
Mailing address
902 S CORONA ST, DENVER, CO 80209-4412
(720) 839-8901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11886
CO
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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