Individual
KAITLIN MARIE WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
325 KING ST, DENVER, CO 80219-1326
(720) 537-5168
Mailing address
325 KING ST, DENVER, CO 80219-1326
(720) 537-5168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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