Organization
DIANA P. KIRTLEYLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA POWELL KIRTLEY LPC/CACIII (MENTAL HEALTH THERAPIST)
(719) 229-9811
Entity
Organization
Contact information
Practice address
1295 KELLY JOHNSON BLVD STE 250, COLORADO SPRINGS, CO 80920-3963
(719) 229-9811
(719) 278-6707
Mailing address
11857 TRISSINO HTS, FALCON, CO 80831-4501
(719) 229-9811
(719) 278-6707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5061
CO
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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