Individual
MS. KATHLEEN S. AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CACIII
Contact information
Practice address
1650 COCHRANE CIRCLE, BLDG. 7500, FT. CARSON, CO 80913
(719) 526-8376
Mailing address
2821 ILLINOIS AVE, COLO. SPRINGS, CO 80907
(719) 473-5341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4200
CO
1041C0700X
Clinical Social Worker
Primary
991648
CO
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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