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Organization

FEARLESSLY AUTHENTIC PSYCHOLOGY, LLC

Active
Other names
Fearlessly Authentic Psychology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY GARRISON PSY.D. (CLINICAL DIRECTOR)
(913) 208-4241
Entity
Organization

Contact information

Practice address
777 S WADSWORTH BLVD STE 102, LAKEWOOD, CO 80226-4300
(913) 208-4241
Mailing address
332 S CARR ST, LAKEWOOD, CO 80226-3015
(913) 208-4241

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992011373
NPI
CO
Enumeration date
08/11/2022
Last updated
08/16/2022
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