Individual
KIMBERLY ETHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,MA
Contact information
Practice address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6300
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 314-4264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5287
CO
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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