Individual
HEATHER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOTHERAPIST
Contact information
Practice address
328 LUXURY LN, COLORADO SPRINGS, CO 80921-3320
(317) 991-0775
Mailing address
328 LUXURY LN, COLORADO SPRINGS, CO 80921-3320
(317) 991-0775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC0110520
CO
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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