Individual
KELLY GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4775 STONY MESA CT, CASTLE ROCK, CO 80108-7426
(720) 284-2485
Mailing address
4775 STONY MESA CT, CASTLE ROCK, CO 80108-7426
(720) 284-2485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0019858
CO
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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