Individual
KERRY DUANE HAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2277 N MOUNTAIN ESTATES RD, FLORISSANT, CO 80816-8957
(719) 208-7700
Mailing address
2277 N MOUNTAIN ESTATES RD, FLORISSANT, CO 80816-8957
(719) 208-7700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011746
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011746
LICENSED PROFESSIONAL COUNSELOR
CO
Enumeration date
04/02/2018
Last updated
04/02/2018
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