Individual
KELLY ANN MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
44921 OVERLAND TRL, ELIZABETH, CO 80107-9324
(303) 418-4573
Mailing address
44921 OVERLAND TRL, ELIZABETH, CO 80107-9324
(303) 418-4573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000691
CO
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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