Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 832 | CO |
NPI | 1003088170 |
---|---|
Provider Name | Mrs. Karen Quinlisk |
First Address | Lakewood, CO 80401-3304 |
Second Address | Lakewood, CO 80401-3304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2008 |
Last Update Date | 29/03/2008 |