Individual
KIMBERLY DAWN DE JONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1212 RAINTREE DR UNIT A2, FORT COLLINS, CO 80526-1832
(970) 889-8002
Mailing address
1212 RAINTREE DR UNIT A2, FORT COLLINS, CO 80526-1832
(970) 889-8002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0017932
CO
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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