Individual
KEVIN HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6590 S VINE ST STE 101, CENTENNIAL, CO 80121-2762
(720) 468-0101
Mailing address
235 ELLENDALE ST, CASTLE ROCK, CO 80104-8727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0013095
CO
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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