Individual
KRISTY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09925360
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04899084
—
CO
Enumeration date
06/01/2018
Last updated
06/01/2018
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