Individual
KRISTY MARIA HABISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LCSW
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-5711
(303) 602-4560
Mailing address
PO BOX 919, AURORA, CO 80040-0919
(303) 761-0200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002002
CO
101YM0800X
Mental Health Counselor
CSW.09930373
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930373
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
11/09/2018
Last updated
07/30/2024
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