Individual
SARA KIRKENDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(720) 305-3999
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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