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Individual

KAIA ROSE LIVINGSTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOTHERAPIST

Contact information

Practice address
6069 PROSPECT RD, LONGMONT, CO 80503-9047
(303) 882-4994
Mailing address
521 COLLYER ST, LONGMONT, CO 80501-5542
(303) 882-4994

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0105391
CO

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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