Individual
KIM SUE JOHANCEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12835 E ARAPAHOE RD STE P-850, CENTENNIAL, CO 80112-3940
(970) 946-8737
Mailing address
5795 S KITTREDGE CT, CENTENNIAL, CO 80015-4029
(970) 946-8737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0003285
CO
Other
Enumeration date
10/30/2015
Last updated
09/11/2024
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