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Individual

KRISTINA L GOLDBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMFT,BFA,LMFT

Contact information

Practice address
13125 W 2ND PL APT C2533, LAKEWOOD, CO 80228-1476
(510) 350-6849
Mailing address
13125 W 2ND PL APT C2533, LAKEWOOD, CO 80228-1476
(510) 350-6849

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001557
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13558131
CAQH
CT
Enumeration date
09/09/2009
Last updated
06/28/2023
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