Individual
KATHLEEN KIMBERLY LIND LEANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6255 DERBY ROCK LOOP, MANITOU SPRINGS, CO 80829-2838
(719) 649-2099
Mailing address
6255 DERBY ROCK LOOP, MANITOU SPRINGS, CO 80829-2838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5628
CO
101YM0800X
Mental Health Counselor
5628
CO
146M00000X
Intermediate Emergency Medical Technician
061401
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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