Individual
KAY KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
2609 W VINE DR, FORT COLLINS, CO 80521-1505
(970) 215-4015
Mailing address
2609 W VINE DR, FORT COLLINS, CO 80521-1505
(970) 215-4015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6971
CO
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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