Individual
ERIC KENT IMBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 432-5215
Mailing address
1000 MAGNOLIA ST, DENVER, CO 80220-4719
(303) 355-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1522
CO
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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