Individual
KAITLIN EVELYN RYAN- MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
77 3RD ST UNIT 400, MONUMENT, CO 80132-8179
(719) 259-4951
Mailing address
19345 KNOTTY PINE WAY, MONUMENT, CO 80132-9438
(719) 433-5992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0021312
CO
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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