Individual
KINSEY NICOLE TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-2217
(303) 293-2309
Mailing address
155 S 45TH AVE, BRIGHTON, CO 80601-4559
(720) 626-3396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC.0013819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000159057
—
CO
Enumeration date
01/18/2017
Last updated
09/14/2018
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