Individual
KALIE MIDCAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 3RD ST, ALAMOSA, CO 81101-2408
(303) 842-4732
Mailing address
1125 3RD ST, ALAMOSA, CO 81101-2408
(303) 842-4732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0020199
CO
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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