Individual
KRISTEN O'KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, CAS
Contact information
Practice address
3393 IRIS AVE STE 104, BOULDER, CO 80301-1956
(303) 736-9566
Mailing address
8919 FIELD ST UNIT 123, WESTMINSTER, CO 80021-4694
(720) 375-0134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0998652
CO
101YP2500X
Professional Counselor
Primary
LPCC.0020282
CO
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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