Individual
KC MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(720) 305-3060
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
02/03/2022
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