Individual
MS. KAREN S ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
605 E MIAMI RD, MONTROSE, CO 81401
(970) 249-9694
(970) 249-2955
Mailing address
PO BOX 1208, MONTROSE, CO 81402
(970) 249-9694
(970) 249-2955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4909
CO
Other
Enumeration date
08/24/2006
Last updated
03/04/2008
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