Doctor Name: | MRS. TRACY JONES KINSLEY |
NPI Number: | 1003959651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CAC III |
License Number: | ACC-6167 |
Business Practice Address: | 2021 W Colorado Ave Colorado Springs, CO - 809043840 |
Business Phone Number: | 7196590512 |
Business Fax Number: | 7195203974 |
Mailing Address: | 2021 W Colorado Ave, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809043840 |
Phone Number: | 7196590512 |
Fax Number: | 7195203974 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ACC-6167 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |