Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO | |
N | 101YP1600X | Pastoral Counselor | CO | |
N | 101YS0200X | School Counselor | CO | |
Y | 103K00000X | Behavior Analyst | CO | |
N | 103TP2701X | Group Psychotherapist | CO | |
N | 175L00000X | Homeopath | CO |
NPI | 1215492343 |
---|---|
Provider Name | Kristi Lea Thomas |
First Address | Denver, CO 80014-3201 |
Second Address | Denver, CO 80014-3237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2019 |
Last Update Date | 02/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
83-3347449 | (05) | CO |
84-064473 | (05) | CO |