Organization
KIMBERLY FERNANDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FERNANDES LPC, NCC (LICENSED PROFESSIONAL COUNSELOR, NA)
(970) 673-7372
Entity
Organization
Contact information
Practice address
441 E 4TH ST STE 101, LOVELAND, CO 80537-5653
(970) 673-7372
Mailing address
838 RANCHHAND DR, BERTHOUD, CO 80513-2679
(970) 673-7372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0014046
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014046
NONE YET, APPLYING CURRENTLY
CO
Enumeration date
11/16/2016
Last updated
07/21/2022
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