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1356112825
KRISTEN ELAINE MCCULLOCH
COLORADO SPRINGS, CO
NPI
1356112825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0000174)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
KRISTEN ELAINE MCCULLOCH ADDC 0000174
6805 CORPORATE DR STE 120
COLORADO SPRINGS, CO 80919-1977
Phone number: 719-726-8811
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Mailing Address
KRISTEN ELAINE MCCULLOCH ADDC 0000174
6805 CORPORATE DR STE 120
COLORADO SPRINGS, CO 80919-1977
Phone number:
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