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Individual

KYLA D ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8758 WOLFF CT STE 205, WESTMINSTER, CO 80031-6904
(303) 578-6336
Mailing address
8758 WOLFF CT STE 205, WESTMINSTER, CO 80031-6904
(303) 578-6336

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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