Individual
KELLY NICHOLE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
16390 E 14TH PL, AURORA, CO 80011-7411
(205) 586-6863
Mailing address
16390 E 14TH PL, AURORA, CO 80011-7411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225200000X
Physical Therapy Assistant
Primary
—
CO
Other
Enumeration date
04/14/2020
Last updated
03/17/2021
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