Individual
HEIDI KALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWP
Contact information
Practice address
1516 REMINGTON ST., FORT COLLINS, CO 80535
(970) 484-7447
Mailing address
1516 REMINGTON ST, FORT COLLINS, CO 80524-4140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1280
CO
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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