Individual
KEITH AARON KUTNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1420 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-3733
(719) 255-4444
Mailing address
2100 MANCHESTER RD, SUITE 1510, WHEATON, IL 60187-4579
(630) 653-1717
(630) 344-1087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.011414
IL
103TC0700X
Clinical Psychologist
Primary
0006035
CO
Other
Enumeration date
11/10/2015
Last updated
04/18/2023
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