Individual
KELLY LEIGH THIELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ADS
Contact information
Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(331) 725-1878
Mailing address
3064 WILDES RD, LOVELAND, CO 80538-9494
(630) 708-7938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32880
IL
1041C0700X
Clinical Social Worker
149020903
IL
1041C0700X
Clinical Social Worker
Primary
CSW.09926262
CO
Other
Enumeration date
06/17/2019
Last updated
06/02/2025
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