Individual
MS. AUDREY MARIE HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CNS
Contact information
Practice address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
(719) 327-5685
Mailing address
609 GLEN EYRIE CIR, COLORADO SPRINGS, CO 80904-2138
(719) 578-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78463
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78463
COLORADO LICENSE
CO
Enumeration date
02/08/2006
Last updated
07/08/2007
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