Individual
KEIRAN LEE BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 9TH AVE, LONGMONT, CO 80501-4598
(720) 892-6477
Mailing address
1777 6TH ST., CJS, BOULDER, CO 80302
(303) 909-9189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928257
CO
Other
Enumeration date
10/03/2016
Last updated
03/11/2025
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