Individual
COLLEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
3208 LAKE PARK WAY, 105, LONGMONT, CO 80503-7822
(773) 919-9310
Mailing address
3208 LAKE PARK WAY, 105, LONGMONT, CO 80503-7822
(773) 919-9310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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