Individual
SCOTT KIETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC/LPC
Contact information
Practice address
350 TERRY ST STE 320, LONGMONT, CO 80501-5490
(970) 310-3406
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002184
CO
Other
Enumeration date
12/03/2013
Last updated
10/17/2023
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