Individual
ROSE KIMBERLY MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60928614
CO
101YM0800X
Mental Health Counselor
CG60928614
WA
106H00000X
Marriage & Family Therapist
Primary
0014058
CO
Other
Enumeration date
01/09/2019
Last updated
11/27/2020
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