KYLE DAVID MICKEY

AURORA, CO
NPI1104074376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-08-30
Last Update Date2008-08-30
Business Address
Mr. KYLE DAVID MICKEY
1455 BEELER ST
AURORA, CO 80010-3027
Phone number: 303-360-6014
Mailing Address
Mr. KYLE DAVID MICKEY
11111 ALCOTT ST APT A
WESTMINSTER, CO 80234-3180
Phone number: 303-506-8116