Individual
EILEEN M KINKELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
0405 CASTLE CREEK RD, STE 9, ASPEN, CO 81611-3125
(970) 920-5555
(970) 920-5557
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6471
CO
101YP2500X
Professional Counselor
Primary
5199
CO
Other
Enumeration date
01/25/2007
Last updated
10/30/2009
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