Individual
MS. AMANDA MAUREEN FITZSIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CACIII
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7132
Mailing address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6320
CACIII
CO
Enumeration date
05/30/2006
Last updated
07/08/2007
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