KIMBERLY KATHLEEN WISE MA, LPC, NCC
NPI 1093105850
Counselor - Professional in Denver, CO
Active since February 02, 2015
About Kimberly Kathleen Wise Ma, Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY KATHLEEN WISE MA, LPC, NCC (NPI 1093105850) is an individual professional provider in Denver, Colorado, licensed in Colorado (11886) and active in the NPI registry since February 2015.
NPPES Registry Identity
NPI1093105850
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY KATHLEEN WISECredential: MA, LPC, NCC
Location Address1440 BLAKE ST, SUITE 200Denver, CO 80202-1474
Mailing Address902 S Corona StDenver, CO 80209-4412 · (720) 839-8901
Phone(720) 839-8901
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
✔ NPI 1093105850 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 11886
1440 BLAKE ST, Denver, CO 80202
Other Names 1
Former Name (1)Kimberly Kathleen Taskey
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093105850, enumerated as an "individual" on February 02, 2015.
The provider is located at 1440 BLAKE ST SUITE 200 DENVER, CO 80202 and the phone number is (720) 839-8901.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
