Individual
KIM R. SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3210 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5158
(720) 773-0454
Mailing address
3210 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5158
(720) 773-0454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0015359
CO
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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