| Doctor Name: | MS. KIRSTIN ALIKINA IUBHAR |
| NPI Number: | 1093171969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | NCL.0013575 |
| Business Practice Address: | 405 Arms Ln Fountain, CO - 808172008 |
| Business Phone Number: | 7192089607 |
| Business Fax Number: | |
| Mailing Address: | 405 Arms Ln, FOUNTAIN |
| State: | CO |
| Postal Code: | 808172008 |
| Phone Number: | 7192089607 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2016 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | NCL.0013575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |