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Individual

MRS. KELLY HOLMES THOENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS

Contact information

Practice address
1204 W ASH ST UNIT A, WINDSOR, CO 80550-4660
(970) 494-4261
(970) 399-8038
Mailing address
1204 W ASH ST UNIT A, WINDSOR, CO 80550-4660
(970) 494-4261
(970) 399-8038

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0997119
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00000807
CO

Other

Enumeration date
05/23/2008
Last updated
08/08/2024
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