| Kim Koditek Lcsw Llc | |
|
706 Hays Cir Longmont CO 80504-1338 | |
| (720) 480-4814 | |
| Not Available |
| Full Name | Kim Koditek Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 706 Hays Cir, Longmont, Colorado |
| Authorized Official Name and Position | Kim Koditek (THERAPIST/OWNER) |
| Authorized Official Contact | 7204804814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Koditek Lcsw Llc 706 Hays Cir Longmont CO 80504-1338 Ph: (720) 480-4814 | Kim Koditek Lcsw Llc 706 Hays Cir Longmont CO 80504-1338 Ph: (720) 480-4814 |
| NPI Number | 1548983372 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548983372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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