Individual
MRS. CARISSA KELLY KEIRSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
875 W. MORENO, COLORADO SPRINGS, CO 80905
(719) 572-6100
(501) 316-2221
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0912128
AR
101YP2500X
Professional Counselor
Primary
LPC.0011371
CO
Other
Enumeration date
12/09/2009
Last updated
12/05/2023
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